Out-of-hospital pediatric airway management in the United States

Resuscitation
Matthew HansenHenry E Wang

Abstract

The objective of this study was to characterize pediatric out-of-hospital airway management interventions, success rates, and complications in the United States using the 2012 National Emergency Medical Services Information System (NEMSIS) dataset. In 2012, NEMSIS collected data from Emergency Medical Services (EMS) encounters in 40 states. We included all patients less than 18 years of age and identified all patients who had airway interventions including endotracheal intubation (ETI), bag-valve-mask ventilation (BVM), continuous positive airway pressure/bilevel positive airway pressure (CPAP/BiPAP) and alternate airways (Combitube, King LT, Laryngeal Mask Airway (LMA), esophageal obturator airway, and cricothyroidotomy). Success and complication rates were analyzed and compared across pediatric age groups, by race, ethnicity, clinical condition, and geographic region. We identified a total of 949,301 pediatric patient care events in the NEMSIS 2012 dataset. 4.5% had airway management procedures (42,936 events). Invasive airway management or ventilation (ETI, cricothyroidotomy, alternate airway, CPAP/BiPAP, BVM and other ventilation) took place in 1.5% of patient care events (14,107). Of those who had invasive airway managemen...Continue Reading

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Citations

Mar 6, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Alexander R SchmidtPhilipp Stein
Oct 13, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Garth MecklerJeanne-Marie Guise
Aug 6, 2020·Military Medicine·Elizabeth A KoslowSteven G Schauer
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
May 27, 2020·Emergency Medicine International·Jhon Jairo RodríguezSara Restrepo Vargas
Sep 2, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Steven TalbertMary Lou Sole
Nov 19, 2019·The Western Journal of Emergency Medicine·Daniel G OstermayerManish I Shah
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Feb 25, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christopher T RichardsAshish R Panchal
Aug 20, 2017·The American Journal of Emergency Medicine·Matt HansenJeanne-Marie Guise
Mar 29, 2021·Resuscitation·Patrick Van de VoordeIan Maconochie
Apr 23, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Matt HansenHenry Wang
Oct 9, 2018·The American Journal of Emergency Medicine·Leigh WhiteRuan Vlok
Jun 8, 2021·Notfall & Rettungsmedizin·Patrick Van de VoordeIan Maconochie
Sep 14, 2021·Acta Anaesthesiologica Scandinavica·Lauri ElonheimoJouni Nurmi
Nov 23, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Veronica K WeihingIrma T Ugalde

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