PMID: 9189188Jun 1, 1997Paper

Out-of-hospital experience with the syringe esophageal detector device

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
M PelucioH Dhindsa

Abstract

To determine the accuracy of a syringe esophageal detector device (EDD) for detecting esophageal intubations in an out-of-hospital setting. Prospective, observational study of adult (age > or = 18 years) patients intubated by paramedics from October 1993 through May 1994 in an urban emergency medical services (EMS) system. Paramedics were instructed to record the EDD reading after endotracheal tube placement. However, paramedics were instructed not to modify their tube locations based on the EDD reading. Tube placement was evaluated by a physician upon patient arrival at a local ED. Paramedics performed 374 intubations during the study period, and in 213, the EDD was used. Of these 213 patients, 45 were excluded from analysis (32-tube placement not confirmed, 11-paramedic uncertain of EDD reading, 2-too young). In the remaining 168 intubations, the EDD correctly identified 5 of 10 esophageal intubations (sensitivity 50%; 95% CI: 19%, 81%). The EDD correctly identified 156 of 158 tracheal intubations (specificity 99%; 95% CI: 96%, 100%). In this paramedic field study, the EDD demonstrated poor sensitivity for esophageal intubations. Further EMS studies of the EDD are needed to clarify the value of the device in out-of-hospital e...Continue Reading

References

Dec 1, 1992·Annals of Emergency Medicine·D Higgins, F C Anaes
Jul 1, 1992·The American Journal of Emergency Medicine·D OberlyM Simmons
Jul 1, 1991·Annals of Emergency Medicine·R B VukmirK L Stein
Aug 1, 1986·Anesthesia and Analgesia·P K BirminghamR J Ward
Oct 1, 1980·Anaesthesia·T H Howells, R J Riethmuller
Jun 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·C D MarleyG A Patterson
Jul 1, 1994·The American Journal of Emergency Medicine·W A JenkinsP M Paris
Dec 9, 1995·Prehospital and Disaster Medicine·C E KapsnerJ Menegazzi
Jun 6, 1996·Prehospital and Disaster Medicine·C D MarleyM A Taigman

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Citations

Sep 10, 2002·The Journal of Emergency Medicine·Gregory W HendeyBarbara Hogue
Feb 3, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R E O'ConnorS J Davidson
Sep 6, 2012·Resuscitation·Michael P PhelanUNKNOWN American Heart Association's Get With The Guidelines-Resuscitation Investigators
Apr 17, 2012·Resuscitation·Edward Scarth, Tim Cook
Oct 20, 2010·Resuscitation·Jerry P NolanUNKNOWN ERC Guidelines Writing Group
Sep 10, 2010·The American Journal of Emergency Medicine·Anders Rostrup NakstadMårten Sandberg
Aug 16, 2008·Acta Anaesthesiologica Scandinavica·P BerlacUNKNOWN Scandinavian Society for Anesthesiology and Intensive Care Medicine
Dec 3, 2005·Resuscitation·Jerry P NolanUNKNOWN European Resuscitation Council
Dec 6, 2005·Resuscitation·Jo Kramer-JohansenPetter Andreas Steen
May 11, 2015·The American Journal of Emergency Medicine·Dominik RothWolfgang Schreiber
Aug 6, 2009·Journal of Intensive Care Medicine·Praveen Rudraraju, Lewis Ari Eisen
Jun 6, 2012·Nature Reviews. Cardiology·Jerry P NolanPeter Paal
May 10, 2008·Current Opinion in Critical Care·Jerry P Nolan, Jasmeet Soar
Jul 23, 2005·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Henry E WangDavid Hostler
Nov 28, 2002·Current Opinion in Critical Care·Wolfgang Ummenhofer, Daniel Scheidegger
Jan 24, 2002·Current Opinion in Critical Care·J D Nolan
Jun 15, 2007·Emergency Medicine Australasia : EMA·Tahir KadryJustin Imrie

Jan 1, 2006·Notfall & Rettungsmedizin·J P NolanV Wenzel
Jul 20, 2007·CJEM·Kenneth C Dittrich
Mar 29, 2021·Resuscitation·Jasmeet SoarJerry P Nolan
Jun 15, 2021·Notfall & Rettungsmedizin·Jasmeet SoarJerry P Nolan

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