Prehospital Oral Endotracheal Intubation by Rural Basic Emergency Medical Technicians

U.S. Army Air Ambulance Operations in E1 Paso, Texas: A Descriptive Study and System Review

“…Table III provides an example of the importance of advanced clinical training and skills maintenance. Although comparable to the findings ofa study ofcivilian rural EMT-Bs, 10 the reported failure rate of attempted endotracheal intubation (24°16) is far greater than the community standard (less than 10%) for prehospitalintubation failure. [11][12][13] In civilian systems offering intubation and other advanced skills, these procedures are undertaken onlyby adequatelytrained and certified individuals.…”

Cardiac Arrest Resuscitation

“…However, there is no clear evidence for benefit 31 ; the incidence of adverse events during intubation attempts become unacceptably high when providers do not receive active, continued training and skills maintenance. [84][85][86][87][88][89] The same can likely be said for all types of health care providers. Whether in the prehospital setting or in the emergency department, prolonged attempts at advanced airway management unnecessarily interrupt chest compressions, especially when there are acceptable alternatives.…”

Exogenous surfactant: intubated present, nebulized future?

“…Pediatric trainees showed poor competency in intubation skills. [26][27][28][29] The high efficacy of surfactant therapy in reducing complications of prematurity, coupled with the high risk of intubation complication and decreased skills amongst trainees and providers at community centers makes a nebulized delivery system an appealing option to improve the speed of surfactant administration.…”