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Sedation for intubation in the prehospital setting should consist primarily, although not exclusively, of respiratory support and sedative medication. As with intubation in the intensive care setting, patients who cannot be directly airway-supported or whose airway is non-obstructive should be sedated to the level of lower respiratory stream. At the same time, level of sedation should be matched to the severity of patient's condition and patient preference. The choice of sedation for a particular situation should be guided by the level of sedation required to maintain the patient's comfort and availability of appropriate monitoring equipment (eg, central line, pulse oximeter).
The treatment of prehospital patient in the emergency care setting is similar to that of the hospital emergency department patient. In most cases, a basic resuscitation is administered along with intravenous access to appropriate fluids and drugs (Figure 4-19).
Figure 4-19. Treatment of prehospital patients.
Rescue is a primary goal of prehospital emergency care. This goal includes providing for stabilization of the patient, removing patient from area of active trauma, and providing care during transport to a destination. Some important aspects of rescue include:.
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The man who is called scopra or the scoprÃ¡, is a brave or brave-hearted person.
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