Blog article 2-Ventilation

Insights into Prehospital Mechanical Ventilation for Trauma Patients

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When seconds matter, the role of prehospital mechanical ventilation in trauma care can make a life-saving difference. Here’s what EMS providers need to know:

 

The Essentials

Trauma often leads to hemorrhage and metabolic complications. Mechanical ventilation supports oxygen demand and reduces the work of breathing, but it’s not always necessary. Decisions should factor in injury severity, hemodynamic stability, and transport logistics.

 

Key Ventilation Strategies:

 
  • Hemorrhage Control: Address bleeding and stabilize volume before using positive pressure ventilation, as it impacts venous return and cardiovascular function.

  • Lung Protection: Use low tidal volumes (6–8 mL/kg of predicted body weight) to reduce the risk of acute respiratory distress syndrome (ARDS).

  • Oxygen Levels: Aim for oxygen saturation of 94–98%.

  • Adjust Minute Ventilation: Tailor the respiratory rate and tidal volume to address metabolic acidosis. 

Special Considerations:

  • Rib Fractures & Pulmonary Contusions: Monitor for complications, especially in elderly patients. Use higher PEEP settings to improve oxygenation if necessary.
  • Pneumothorax: Watch for worsening symptoms during transport. Decompression techniques have evolved—opt for the fifth intercostal space over the traditional second.
  • Neurologic Emergencies: Prevent secondary brain injury by maintaining proper oxygenation and CO2 balance. Intubate when necessary, considering patient stability and transport time.

Proactive Management Tips:

  • Monitor oxygen saturation and end-tidal CO2.
  • Avoid hyperventilation unless temporarily required for uncontrolled intracranial pressure.
  • Position patients appropriately (head elevated at 30°) to manage intracranial pressure effectively.

Prehospital mechanical ventilation is a cornerstone of trauma care, enhancing outcomes when applied with precision and awareness of patient-specific needs.

 

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To know more, read the full paper at
Insights into Prehospital Mechanical Ventilation for Trauma Patients

 

 

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Latest News

We have been at Arab Health 2025

Founded 50 years ago, Arab Health serves as a premier platform connecting the world’s top manufacturers, wholesalers, and distributors with the medical and scientific communities of the Middle East and the subcontinent.

 

We have been therer showcasing our innovative technologies in the fields of ventilation and analgesia, featured in our e700 and eAdvantage® systems, respectively.

 

The event took place from 27 – 30 January 2025, at the Dubai World Trade Centre.