Preliminary experience with a prospective, multi-centered evaluation of out-of-hospital endotracheal intubation ☆

摘要: Abstract Study Objective: Previous out-of-hospital airway management data are limited by small, single-site designs. We sought to evaluate the feasibility of performing a prospective, multi-centered evaluation endotracheal intubation (ETI) using standardized collection tool. Methods: designed prospective observational study involving 45 advanced life support (ALS) services from mid-Atlantic state. Using form, prehospital personnel reported details each attempted ETI, including patient demographics, methods used, difficulties encountered, and initial outcomes. calculated assessed form return rates (using independent queries number ETI EMS service) missing entry rates. also performed preliminary cross-sectional assessments factors current interest in ETI. Accuracy validity responses were not evaluated. Data stored centrally analyzed descriptive techniques. Results: Participants included 8 urban, 15 suburban, 20 rural, 2 air medical services. forms received on 783 adults receiving attempts during period June 1, 2001–November 30, 2001. The pooled rate was 72.7%. Per-service ranged 0 100% median per-service 75%. Non-response (data returned for intubation) problematic, with nine demonstrating less than 50%. could be an additional 0.5–22.2%. overall success 86.8% (92.8% cardiac arrests 76.8% non-arrests) did appear vary between population settings. There two cases delayed recognition esophageal intubation, one case unrecognized 22 tube dislodgement care or transport. Bag-valve-mask ventilation used as rescue technique majority failed When stratified vs. non-arrests, associated field ED survival. Conclusions: successfully obtained complete across multiple Our indicate need address problems non-response. Preliminary highlight areas management.