Skip to Main content Skip to Navigation
Master Thesis

Étude des gestes de survie en tenue NRBC : contrôle des voies aériennes supérieures, préparation antidotique et pose d’abords vasculaires

Abstract : Introduction: The general practitioner is the cornerstone of victims’ care in case of CBRN event. He organizes the first survival aids, hampered by a large outfit. What is the suit’s impact on time required to carry out these actions? Materials and Methods: We performed a clinical controlled study. Doctors and nurses, with and without CBRN suits, were timed on two actions. On one hand, they were performed on airway control (by laryngeal mask, Fastrach or orotracheal intubation). On the other hand, they had to prepare an antidotic solution, and find an endovascular access (intravenous and intra osseous effective perfusion). Statistical comparison was performed by paired Student T test. Results CBRN suit significantly slowed down the realization of survival aids, notably intubation with laryngeal mask (12.0 +- 2.9 vs 14.3 +- 3.9 s, p = 0.0005) and with Fastrach (30.1 +- 15 4 vs 40.6 +- 26.2 s, p = 0.035). It did not significantly modify the orotracheal intubation (50.8 +- 25.9 vs 59.6 +- 39.1s, p = 0.27). Drug preparation, venous perfusion and intraosseous infusion were also slowed down in our experience (respectively 131.4 +- 44.2 vs 157.1 +- 66.4s, p = 0.033; 136.2 +- 27.5 vs 169.2 +- 41.5s, p = 0.0006; 139.7 +- 35.3 vs 158.5 +- 41.3s, p = 0.018). Discussion: This study illustrates the negative impact of CBRN suits on survival actions. Fastrach seems to be relevant in this situation.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [21 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01138261
Contributor : Université Paris Descartes - Scd <>
Submitted on : Wednesday, April 1, 2015 - 3:04:24 PM
Last modification on : Friday, March 27, 2020 - 2:33:49 AM
Long-term archiving on: : Thursday, July 2, 2015 - 3:24:59 PM

Licence


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License

Identifiers

  • HAL Id : dumas-01138261, version 1

Citation

Nathalie Gaubert Sendon. Étude des gestes de survie en tenue NRBC : contrôle des voies aériennes supérieures, préparation antidotique et pose d’abords vasculaires. Médecine humaine et pathologie. 2014. ⟨dumas-01138261⟩

Share

Metrics

Record views

372

Files downloads

2293