Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Dec;70(6):773-782.e4.
doi: 10.1016/j.annemergmed.2017.03.020. Epub 2017 Apr 29.

Analysis of Out-of-Hospital Pediatric Intubation by an Australian Helicopter Emergency Medical Service

Brian J Burns  1 , Joanna B Watterson  2 , Sandra Ware  3 , Luke Regan  4 , Cliff Reid  1
Affiliations

Analysis of Out-of-Hospital Pediatric Intubation by an Australian Helicopter Emergency Medical Service

Brian J Burns et al. Ann Emerg Med. 2017 Dec.

Abstract

Study objective: We examine first-look success in emergency pediatric intubation by a physician-staffed helicopter emergency medical service (EMS).

Methods: A database analysis of all pediatric (<16 years) intubations during a 64-month period was undertaken, using data from a prospectively enrolled electronic airway registry form. Recorded findings included patient demographics, operator background, airway intervention including intubation attempts, complications, and critical timings.

Results: Eighty-two subjects were identified during the 64-month study. All patients were successfully intubated. The overall first-look success rate was 75 of 82 (91%), registrars achieving a first-look success rate of 26 of 26 (100%), consultants 16 of 17 (94%), and paramedics 33 of 39 (85%). Overall complication rate was 14%; 84% of cases were rapid sequence induction, whereas 16% were "cold intubations." Difficult airway indicators were present in 77% of patients.

Conclusion: A high first-look success rate for pediatric intubation was achieved by adult helicopter EMS physicians and intensive care paramedics. To our knowledge, this compares favorably with the rate in published literature in pediatric emergency departments and critical care units.

PubMed Disclaimer

Comment in