Annals of Emergency Medicine
Volume 55, Issue 6 , Pages 527-537.e6 , June 2010

Out-of-Hospital Endotracheal Intubation Experience and Patient Outcomes

Presented at the National Association of EMS Physicians annual meeting, January 2009, Jacksonville, FL.

  • Henry E. Wang, MD, MS

      Affiliations

    • Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL
    • Corresponding Author InformationAddress for correspondence: Henry E. Wang, MD, MS, Department of Emergency Medicine, University of Alabama at Birmingham, 619 19th Street South, JTN 266, Birmingham, AL 35249; 205-996-6526, fax 205-975-4662
    • ,
  • G.K. Balasubramani, PhD

      Affiliations

    • Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA
    • ,
  • Lawrence J. Cook, PhD

      Affiliations

    • Intermountain Injury Control and Research Center, Department of Pediatrics, University of Utah, Salt Lake City, UT
    • ,
  • Judith R. Lave, PhD

      Affiliations

    • Department of Health Policy and Management, University of Pittsburgh, Pittsburgh, PA
    • ,
  • Donald M. Yealy, MD

      Affiliations

    • Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA

Received 7 April 2009 ,Revised 1 December 2009 ,Accepted 11 December 2009.

  • Image Result

    Adjusted associations between patient survival and rescuer cumulative tracheal intubation experience. Data include tracheal intubation patients January 1, 2003, to December 31, 2005. Cardiac arrests,

    Adjusted associations between patient survival and rescuer cumulative tracheal intubation experience. Data include tracheal intubation patients January 1, 2003, to December 31, 2005. Cardiac arrests, medical nonarrests, and trauma nonarrests were analyzed separately. Tracheal intubation experience was defined as rescuer's cumulative number of tracheal intubations since January 1, 2000. Cardiac arrest estimates were adjusted for patient age, patient sex, major injury/trauma bystander-witnessed cardiac arrest, bystander CPR, EMS automated external defibrillator use, EMS response time (dispatch to arrival on scene), rescuer cumulative patient contacts, EMS agency population setting, and year of encounter. Medical and trauma nonarrests were adjusted for patient age, patient sex, pulse, systolic blood pressure, Glasgow Coma Scale score, rescuer cumulative patient contacts, EMS agency population setting, and year of encounter.ETI, endotracheal intubation.

  • Image Result
    Overview of linkage between data sets. PAEMS, Pennsylvania Emergency Medical Services Patient Care Report Data Set; PHC4, Pennsylvania Healthcare Cost Containment Council Hospital Discharge Data Set;

    Overview of linkage between data sets. PAEMS, Pennsylvania Emergency Medical Services Patient Care Report Data Set; PHC4, Pennsylvania Healthcare Cost Containment Council Hospital Discharge Data Set; PA Death, Pennsylvania Death Data Set.

 Supervising editors: Kathy J. Rinnert, MD, MPH; Michael L. Callaham, MD

 Dr. Rinnert and Dr. Callaham were the supervising editors on this article. Dr. Yealy did not participate in the editorial review or decision to publish this article.

 Author contributions: HEW conceived the study. HEW, JRL, and DMY designed the study. HEW obtained the data. LJC performed data set linkage. HEW, GKB, and LJC performed the analysis. HEW drafted the article, and all authors contributed substantially to its revision. HEW had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. HEW takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This study was supported by National Heart, Lung, and Blood Institute grant R21-HL084528. Dr. Wang received support from Clinical Scientist Development Award K08-HS013628 from the Agency for Health Care Research and Quality, Rockville, MD. The funders had no direct role in the design or execution of the study or the composition of the resulting article.

 Publication date: Available online February 5, 2010.

 Reprints not available from the authors.

 Please see page 528 for the Editor's Capsule Summary of this article.

 Provide feedback on this article at the journal's Web site, www.annemergmed.com.

PII: S0196-0644(09)01841-1

doi: 10.1016/j.annemergmed.2009.12.020

Annals of Emergency Medicine
Volume 55, Issue 6 , Pages 527-537.e6 , June 2010

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