A BRILL idea? The benefits, risks, insights, learning and limitations of an emergency airway registry in pre‐hospital and retrieval medicine

Glasheen, John; Wall, B.; Keogh, Sean

doi:10.1111/1742-6723.13283

Cited by 2 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of an airway registry is an established method of capturing, storing data to aid with clinical governance and quality improvement. The benefits of an airway registry have previously been described, and the introduction of a dedicated airway registry has been shown to improve performance of emergency airway management . An airway registry has also led to improved documentation of intubations performed during patient retrieval, and this improved documentation appears to be sustained over an extended period .…”

Section: Discussionmentioning

confidence: 99%

Endotracheal intubation by a specialised paediatric retrieval team

Glasheen

Holmes

Rampersad

et al. 2019

Emerg Medicine Australasia

Self Cite

View full text Add to dashboard Cite

Objectives Intubation of critically ill children is an infrequent procedure, and is associated with significant risk. We set out to describe intubations carried out by the Children's Health Queensland Retrieval Service (CHQRS), with the intention to identify areas for improvement in the performance of intubation in the retrieval setting. Methods Paediatric patients undergoing transport while intubated were identified, and cases where intubation occurred after the arrival of the CHQRS team were examined. Results Over the study period of January 2015 to September 2018, 498 intubated retrievals were undertaken; 85 patients were intubated after the arrival of CHQRS; the age range was 1 day to 16.5 years (median 0.5, interquartile range [IQR] 0.11–3 years). The median weight was 6.2 kg (IQR 3.7–16.5 kg). The pathology requiring intubation included respiratory 36 (42.3%), sepsis 21 (24.7%), neurological 11 (12.9%) and trauma 7 (8.2%). A total of 470 of 498 (94.4%) of intubated patients were from regional referral or tertiary hospitals, 28 of 498 (5.6%) were from rural and remote facilities. Of 85 patients, 57 (67.1%) were intubated by CHQRS and 28 (32.9%) were intubated by a doctor from the referring facility. The CHQRS team was more likely to perform the intubation in smaller children (median weight 5.0 vs 9.9 kg, P = 0.03). The mean scene time was 2.8 h. The scene time was shorter if the intubation was performed by CHQRS (mean 2.6 h, median 2.5, IQR 1.8–3.3; median 3, IQR 2.2–3.9; P = 0.048). The scene time was shorter when the intubation was predicted from tasking information (2.6 vs 3.1 h; P = 0.03). Conclusion Paediatric endotracheal intubation is an infrequent procedure in our service. An airway registry could improve documentation and gather information to identify specific training requirements and areas for practice improvement.

show abstract

Section: Discussionmentioning

confidence: 99%