Intubation Success in Critical Care Transport: A Multicenter Study

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Ryan J ReichertMichael T Bigham

Abstract

Tracheal intubation (TI) is a lifesaving critical care skill. Failed TI attempts, however, can harm patients. Critical care transport (CCT) teams function as the first point of critical care contact for patients being transported to tertiary medical centers for specialized surgical, medical, and trauma care. The Ground and Air Medical qUality in Transport (GAMUT) Quality Improvement Collaborative uses a quality metric database to track CCT quality metric performance, including TI. We sought to describe TI among GAMUT participants with the hypothesis that CCT would perform better than other prehospital TI reports and similarly to hospital TI success. The GAMUT Database is a global, voluntary database for tracking consensus quality metric performance among CCT programs performing neonatal, pediatric, and adult transports. The TI-specific quality metrics are "first attempt TI success" and "definitive airway sans hypoxia/hypotension on first attempt (DASH-1A)." The 2015 GAMUT Database was queried and analysis included patient age, program type, and intubation success rate. Analysis included simple statistics and Pearson chi-square with Bonferroni-adjusted post hoc z tests (significance = p < 0.05 via two-sided testing). Overall, 85...Continue Reading

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Citations

Dec 5, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Sriram RamgopalChristian Martin-Gill
Sep 20, 2019·World Journal of Emergency Medicine·Avir MitraThomas Nguyen
Feb 12, 2020·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·Raquel Manso Ruiz de la CuestaVerónica García González
Feb 18, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Thomas NicolXavier Combes
Dec 5, 2020·Pediatric Emergency Care·Hannah Mary Dalrymple, Kathryn Browning Carmo

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