Characteristics of paediatric pre-hospital intubation by Intensive Care Paramedics

Characteristics of paediatric pre-hospital intubation by Intensive Care Paramedics

Emergency intubation in children is an infrequent procedure both in the pre-hospital and hospital setting. The anatomical, physiological and situational challenges together with limited clinician exposure can make this a difficult procedure with high risk of adverse events. The aim of this collabora...

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Veröffentlicht in:Emergency medicine Australasia 2023-10, Vol.35 (5), p.754-758
Hauptverfasser: Solan, Tom, Cudini, Daniel, Humar, Matthew, Forsyth, Nathan, Meadley, Ben, St Clair, Toby, Hodge, Darren, Smith, Karen, Babl, Franz E, Long, Elliot
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container_end_page 758
container_issue 5
container_start_page 754
container_title Emergency medicine Australasia
container_volume 35
creator Solan, Tom
Cudini, Daniel
Humar, Matthew
Forsyth, Nathan
Meadley, Ben
St Clair, Toby
Hodge, Darren
Smith, Karen
Babl, Franz E
Long, Elliot
description Emergency intubation in children is an infrequent procedure both in the pre-hospital and hospital setting. The anatomical, physiological and situational challenges together with limited clinician exposure can make this a difficult procedure with high risk of adverse events. The aim of this collaborative study between a state-wide ambulance service and a tertiary children's hospital was to describe the characteristics of pre-hospital paediatric intubations by Intensive Care Paramedics. We conducted a retrospective review of state-wide ambulance service electronic patient care records (ePCRs) in Victoria, Australia, population: 6.5 million. Children aged 0-18 years who were attended by paramedics over a 12-month period that required advanced airway management were analysed for demographics and first-pass success rate. Paramedics attended 2674 cases aged 0-18 years over the 12-month study period who received basic or advanced airway management. A total of 78 cases required advanced airway management. The median age of patients was 12 years (interquartile range 3-16) and most were male (60.2%). Sixty-eight patients (87.5%) were intubated successfully on the first attempt, first-pass success was lowest in children
doi_str_mv 10.1111/1742-6723.14207
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title Characteristics of paediatric pre-hospital intubation by Intensive Care Paramedics
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