Airway management is the ability to determine whether the patient is oxygenated and ventilated by providing appropriate airway patency. Airway management is one of the top priority applications used in anesthesia, emergency medicine, intensive care and pre-hospital emergency response areas. The most important problem for health practitioner in this application is to determine which airway technique will be used and which equipment will be needed accordingly. Although there are a variety of applications and equipment in the literature for airway management, endotracheal intubation (pitting tube placement) is frequently used in Turkey. Especially in patients with difficult airway management, the prolonging of the duration of endotreecal intubation administration prevents the ventilation of the patient and increases the incidence of brain damage, heart failure and death due to oxygen-free survival. Therefore, the use of alternative methods (LMA, esophageal catheterization, E-LMA, Intratracheal jet style, Fiberoptic intubation, Videolaryngoscope, Oesophageal Obturator Airway etc.) in the case of difficult airway situations instead of repeating in the same methods will result in a significant decrease in complications and mortality. Because difficult and unsuccessful endotracheal intubation is the most important cause of death. Alternative methods for endotreialal intubation used in airway management provide ease of administration, faster application than endotracheal intubation applications, high success rates, reliability and being able to be used as a rescuer in failed intubation attempts, as well as being able to be blindly inserted into the mouth, to visualize the respiratory tract anatomy, giving less movement in the neck vertebrae due to their lack of necessity to withdraw in the right direction. Alternative methods, apart from approaching a patient with a known difficult airway, are very important especially in emergencies, when the vehicle can be used when unknown / unexpected difficult airways are encountered and the algorithms that can be applied are well controlled. Since the last century, the increase in the variety of equipment used for ventilation and intubation has made difficult airway management much safer. However, many of the new applications are not used in the airway management trainings currently offered at universities in Turkey. It is thought that this issue, which is lacking in paramedic training in order to increase the use of new and alternative airway methods, especially for first and emergency helpers (prehospital health care services), may be reduced in the event of collective information sharing with transnational countries. It is very important to place the innovative information in the curriculum of paramedic (primary and emergency aid technician) within the scope of the "Emergency Patient Care" course given in the First and Emergency Curriculum of Health Services Vocational Schools in Turkey and to establish a training module in this subject. This allows students to enhance their knowledge and skills in this area on an innovative ground, and by this way they will give more effective and quality services when they graduate and this will bring the least possibility of unwanted situations and death rates due to late and ineffective airway management emerging in emergency interventions.
With the critical cases that require providing the emergency airway patency in the pre-hospital area is frequently encountered and ventilation of these critical patients should be provided as soon as possible. rate of success in endotracheal intervention at the first time in patients with difficult airway management decreases with the reasons such as time constraints, stress and inexperience caused by the need for rapid intervention, especially in the pre-hospital area. However, to attempt the intubation with repeated trials delays patient ventilation and oxygenation and increases mortality rates (mortality) by causing many complications. Therefore, in patients whose endotracheal intubation is difficult to implement; to provide rapid and successful airway patency by using supraglottic and glottic methods as alternative to endotracheal intubation instead of repeated interventions will help reduce complications and mortality. This situation has been formed the starting point of our project idea. In this respect, a total of five meetings were held with domestic and international partners, one of which was the first meeting and four of which were transnational meetings. The field analyses and evaluations has been conducted in these meetings about the health system of Turkey, Romania and Hungary, structure of emergency health services, health education, paramedic training, airway methods often used in these countries. In addition, the works of the book calls "Alternative and New Methods used in Airway Management", which is one of our two most important intellectual output in these meetings, have been completed and our book has been presented to our target groups with open access in four languages. Also, the English version of our book has been printed in an international publishing house. This facilitates the accessibility of the book by health education students and health workers, academicians who provide education in the field of health all over the world. The content of the lesson called ''Airway Management'' which is our other intellectual output, has been arranged and the first and emergency aid program has been added to the training curriculum by the senate decision of Amasya University. Our project conclusion book and lesson curriculum has been presented to the Higher Education Institution as suggestions that it would be useful to use them in the first and emergency aid programs of other universities in Turkey. During the project, it has been carried out that learning, teaching and internship activities in Romania and Hungary at two different times. A total of 24 multiplier activities has been carried out during the project process, 32 adults and 16 students has been involved in mobility activities in all these activities. The applied trainings with our training materials about airway management and alternative airway methods in Amasya, Tokat, Samsun, Sinop and Ordu have been provided especially the pre-hospital health workers who are one of our target groups. A survey has been applied to health workers before and after these trainings, so that their level of knowledge about alternative airway management, their problems in airway management and the benefits provided of the training have been determined. The results of the survey studies are included in our project conclusion book. At the same time, the data obtained as a result of the trainings and our project book has been presented to the Ministry of Health in order to emphasize the necessity of providing training on alternative airway management in the in-service trainings of health workers. The students who are another target group have been given trainings on alternative airway management, and pre-and post-training surveys has been conducted for the first and emergency aid students who participated in the training. These survey results are included in our project conclusion book. The publication of our scientific project book as an international book and presenting it to the academic literature will have a long-term impact as it is a resource book for healthcare workers, academicians and health students.In addition, the Airway Management course, which is added to the curriculum, will provide continuity in the development of students' knowledge and skills on alternative airway methods during their vocational training.However, the use of our project book as a resource book of this course is one of the long-term expected benefits.The trainings which were provided by us to students and healthcare workers have increased awareness, knowledge and skill levels. This is another long-term impact of our project, as this will positively reflect the quality of service provided to the society by healthcare workers and students who are healthcare workers of the future. In addition, our project website and youtube channel will be online for 2 years from the end of the project.