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Table 9 World SIVA adverse sedation event reporting tool

From: Procedural sedation by advanced practice providers in the emergency medical service in the Netherlands: a retrospective study

Step 1: Was there one or more adverse events associated with this sedation encounter?

 

N = 12

 

Step 2: DESCRIBE the adverse events(s). Check all that apply.

 

Minimal risk descriptors

n = 2 Vomiting (n = 1aspirated)

Minor risk descriptors

n = 3 Oxygen desaturation (75–90%) < 60 s (n = 1 apnea, not prolonged)

n = 5 Apnea, not prolonged

n = 2 Tachycardia

n = 1 Bradycardia

n = 1 Hypotension

Sentinel risk descriptors

 

Step 3: INTERVENTIONS performed to treat the adverse events(s).

 

Minimal risk

n = 149 No intervention performed

Minor risk

n = 5 Airway repositioning Bag valve mask assisted ventilation. Tactile stimulation or Supplemental oxygen, new or increased

Moderate risk

N = 3 Bag valve mask assisted ventilation

Sentinel intervention

Step 4: OUTCOME of the adverse events(s)

 

Minimal risk outcome

n = 157 No adverse outcome

Moderate risk outcome

Sentinel outcome

 

Step 5: SEVERITY rating to the adverse event(s) associated with sedation.

 

Minimal risk adverse event.

N = 147

Minor risk adverse event.

N = 7

Moderate risk adverse event.

N = 3

Sentinel adverse event.

N = 0