Performance of endotracheal intubation and rescue techniques by emergency services personnel in an air medical service

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Carl A GermannKim McGraw

Abstract

Literature spanning the last two decades has identified potential harm associated with out-of-hospital endotracheal intubation performed by ground paramedics. Previous researchers have reported intubation success rates of 66% to 97% in the air medical setting. To examine the success of endotracheal intubation and rescue techniques performed by air medical personnel during the first eight years of operation of the air ambulance service. This study was a retrospective survey of health records utilizing data from LifeFlight of Maine's airway procedure quality review database, covering the first eight years of system encounters. During the study period, 369 intubation encounters occurred. Rapid-sequence intubation medications were administered in 345 (93.5%) cases. Flight personnel successfully performed endotracheal intubation in 340 (92.1%) encounters. Unsuccessful intubations were managed with an alternative definitive airway, rescue airway, or bag-valve-mask. Laryngeal mask airway (n = 11) was the most commonly used rescue airway device. During the first eight years of operation of this air medical transport system, flight personnel were able to successfully perform endotracheal intubation in 92.1% of cases.

References

Jun 1, 1992·Annals of Emergency Medicine·M Murphy-MacabobbyD Dries
Mar 1, 1988·Annals of Emergency Medicine·S A SyverudB J Hubbard
Jan 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R F SingC W Schwab
Jul 10, 1998·Annals of Emergency Medicine·J S BradleyD R Nelson
Oct 24, 1998·The American Journal of Emergency Medicine·R F SingC C Brathwaite
Feb 8, 1992·The Journal of Air Medical Transport·K J MisharkS F Gudgell
Jun 7, 1995·Air Medical Journal·W C BoswellE I Frantz
Feb 22, 2000·JAMA : the Journal of the American Medical Association·M GauscheJ S Seidel
Oct 18, 2000·The Journal of Emergency Medicine·C SloaneP Rosen
Jan 6, 2001·Annals of Emergency Medicine·S H Katz, J L Falk
May 8, 2001·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·E R SwansonR J Neff
Oct 20, 2001·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·T L AllenD Nicholas
Oct 3, 2002·The Journal of Emergency Medicine·Eileen M BulgerGregory J Jurkovich
Jul 25, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·John H BurtonJoanne E Lebrun
Feb 6, 2004·Pediatric Emergency Care·Timothy H HarrisonSuzanne K Wedel
Apr 30, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher B ColwellTamara Bryan
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 WangDonald M Yealy
Mar 9, 2006·Health Affairs·Henry E WangDonald M Yealy

❮ Previous
Next ❯

Citations

Feb 10, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Leif K Rognås, Troels Martin Hansen
Jun 4, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Sofie LangvadMarten Sandberg
Oct 16, 2012·Wilderness & Environmental Medicine·M Josephine Hessert, Brad L Bennett
Jul 3, 2013·Air Medical Journal·Kathryn A ElofsonAsad E Patanwala
May 10, 2011·Air Medical Journal·Lawrence H BrownRandall W Benner
Sep 3, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael W HubbleRandall W Benner
May 29, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Michael W HubbleMichael E Richards
Jun 8, 2014·The Journal of Emergency Medicine·Joshua B GaitherJohn J Sakles
Jun 29, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Itai ShavitElon Glassberg
Jan 1, 2010·Current Opinion in Anaesthesiology·Mirsad DupanovicAnthony Kovac
Feb 16, 2017·Critical Care : the Official Journal of the Critical Care Forum·K CrewdsonM Rehn
Jul 14, 2010·Current Opinion in Anaesthesiology

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Alex G GarzaDarryl Coontz
© 2021 Meta ULC. All rights reserved