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Table 4 Non-technical skills demonstrated by crews during simulation

From: Emergency cricothyroidotomy in difficult airway simulation – a national observational study of Air Ambulance crew performance

Non-technical skills

Performed n (%)

Not performed n (%)

Partially performed n (%)

COMMENT / DESCRIPTION

Situation awareness

 Anamnesis

34 (94)

1 (3)

1 (3)

Obtaining adequate anamnestic details from paramedic on-scene

 Recognition of difficult airway

34 (94)

2 (6)

Not applicable

Possible difficult airway addressed loudly by one crewmember

Team working

 HCM involvement

36 (100)

0

0

HCM actively participating in assessment, treatment and use of equipment

 Pilot involvement

28 (78)

8 (22)

0

Pilot participating in assessment, preparation or treatment.

 Pilot major contribution

11 (33)

22 (66)

Not applicable

Pilot actively and independently contributing to assessment, preparation or treatment.

Task management

 Brief RSI medications

33 (92)

2 (6)

1 (3)

Giving a concise brief on which medications and dosage before RSI

 Brief Plan B for alternative airway

25 (69)

8 (22)

3 (9)

Supraglottic airway device if RSI-failure.

 Brief Plan C for alternative airway

11 (30)

14 (39)

11 (31)

Surgical front of neck-access if RSI-failure

Decision making

 Closed-loop communication

33 (92)

3 (8)

0

Deliberated use of closed loop in team communication

 Checklist

1 (3)

35 (97)

0

Use of standardized checklist before RSI