A Systematic Review of Pre-Hospital Care Protocols: Best Practices and Areas for Improvement

This systematic review evaluates current pre-hospital emergency anaesthesia (PHEA) and advanced airway management protocols, highlighting best practices and identifying areas for improvement. Effective airway management is critical for patients with life-threatening conditions, and standardized protocols are essential for enhancing patient outcomes. The review synthesizes findings from multiple studies, emphasizing the importance of timely interventions, rigorous training, and continuous competency assessments among emergency medical services (EMS) providers. Despite the recognized benefits of PHEA, challenges such as variability in training and adherence to protocols persist. This review underscores the need for national standards, ongoing education, and a culture of continuous improvement to align pre-hospital practices with hospital standards.

Keywords: Pre-hospital emergency anaesthesia, Airway management, Emergency medical services, Best practices, Protocols