ScienceOpen:
research and publishing network
For Publishers
Discovery
Metadata
Peer review
Hosting
Publishing
For Researchers
Join
Publish
Review
Collect
My ScienceOpen
Sign in
Register
Dashboard
Blog
About
Search
Advanced search
My ScienceOpen
Sign in
Register
Dashboard
Search
Search
Advanced search
For Publishers
Discovery
Metadata
Peer review
Hosting
Publishing
For Researchers
Join
Publish
Review
Collect
Blog
About
18
views
0
references
Top references
cited by
81
Cite as...
0 reviews
Review
0
comments
Comment
0
recommends
+1
Recommend
0
collections
Add to
0
shares
Share
Twitter
Sina Weibo
Facebook
Email
2,115
similar
All similar
Record
: found
Abstract
: not found
Article
: not found
Emergency Airway Management: A Multi-Center Report of 8937 Emergency Department Intubations
Author(s):
Ron M. Walls
,
Calvin A. Brown
,
Aaron E. Bair
,
Daniel J. Pallin
Publication date
Created:
October 2011
Publication date
(Print):
October 2011
Journal:
The Journal of Emergency Medicine
Publisher:
Elsevier BV
Read this article at
ScienceOpen
Publisher
PubMed
Review
Review article
Invite someone to review
Bookmark
Cite as...
There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.
Abstract
Emergency department (ED) intubation personnel and practices have changed dramatically in recent decades, but have been described only in single-center studies. We sought to better describe ED intubations by using a multi-center registry. We established a multi-center registry and initiated surveillance of a longitudinal, prospective convenience sample of intubations at 31 EDs. Clinicians filled out a data form after each intubation. Our main outcome measures were descriptive. We characterized indications, methods, medications, success rates, intubator characteristics, and associated event rates. We report proportions with 95% confidence intervals and chi-squared testing; p-values < 0.05 were considered significant. There were 8937 encounters recorded from September 1997 to June 2002. The intubation was performed for medical emergencies in 5951 encounters (67%) and for trauma in 2337 (26%); 649 (7%) did not have a recorded mechanism or indication. Rapid sequence intubation was the initial method chosen in 6138 of 8937 intubations (69%) and in 84% of encounters that involved any intubation medication. The first method chosen was successful in 95%, and intubation was ultimately successful in 99%. Emergency physicians performed 87% of intubations and anesthesiologists 3%. Several other specialties comprised the remaining 10%. One or more associated events were reported in 779 (9%) encounters, with an average of 12 per 100 encounters. No medication errors were reported in 6138 rapid sequence intubations. Surgical airways were performed in 0.84% of all cases and 1.7% of trauma cases. Emergency physicians perform the vast majority of ED intubations. ED intubation is performed more commonly for medical than traumatic indications. Rapid sequence intubation is the most common method of ED intubation. Copyright © 2011 Elsevier Inc. All rights reserved.
Related collections
Preventive and Emergency Medicine Insights
Author and article information
Journal
Title:
The Journal of Emergency Medicine
Abbreviated Title:
The Journal of Emergency Medicine
Publisher:
Elsevier BV
ISSN (Print):
07364679
Publication date Created:
October 2011
Publication date (Print):
October 2011
Volume
: 41
Issue
: 4
Pages
: 347-354
Article
DOI:
10.1016/j.jemermed.2010.02.024
PubMed ID:
20434289
SO-VID:
2ce88b61-26cb-4a6c-bf53-73864816a9fe
Copyright ©
© 2011
License:
https://www.elsevier.com/tdm/userlicense/1.0/
History
Data availability:
Comments
Comment on this article
Sign in to comment
scite_
Similar content
2,115
Management of mild traumatic brain injury at the emergency department and hospital admission in Europe: A survey of 71 neurotrauma centers participating in the CENTER-TBI study.
Authors:
David Menon
,
Andrew Maas
,
Diederik W J Dippel
…
An evaluation of psychoactive substances that bring youth to the emergency Department
Authors:
S. KING
,
C. Paradis
,
J. REYNOLDS
Dysphagia Prevalence, Time Course, and Association with Probable Sarcopenia, Inactivity, Malnutrition, and Disease Status in Older Patients Admitted to an Emergency Department: A Secondary Analysis of Cohort Study Data
Authors:
Tina Hansen
,
Rikke Nielsen
,
Morten Baltzer Houlind
…
See all similar
Cited by
80
The importance of first pass success when performing orotracheal intubation in the emergency department.
Authors:
John C Sakles
,
Stephen Chiu
,
Jarrod Mosier
…
The difficult airway with recommendations for management – Part 1 – Difficult tracheal intubation encountered in an unconscious/induced patient
Authors:
J Adam Law
,
Natasha Broemling
,
Richard Cooper
…
Strategies for the prevention of airway complications - a narrative review
Authors:
T M Cook
See all cited by
Version 1
- Current
Version 1