Factors Associated With Poor Long-Term Outcomes After Emergency Department Intubation.

Introduction While immediate complications of ED patients undergoing endotracheal intubation (ETI) have been explored, the relationship between ED ETI and patient status at hospital discharge is unknown. Methods We performed a retrospective review of all intubations performed in our ED for one calendar year in adult patients (>18 years of age). We abstracted patient and ETI factors (indication, complications, etc.

Factors associated with advanced cardiac care in prehospital chest pain patients.

Introduction: Many patients transported by emergency medical services (EMS) may require advanced cardiac care but do not have ST-segment elevation (STEMI) on the initial prehospital EKG. We sought to identify factors associated with the need for advanced cardiac care in undifferentiated EMS patients reporting chest pain in the absence of STEMI on EKG.

Methods: We performed a retrospective analysis of all adult patients, reporting atraumatic chest pain from a single EMS agency, presenting to a single, urban hospital over a 10-year period.

A pilot, prospective, randomized trial of video versus direct laryngoscopy for paramedic endotracheal intubation.

Background: Prehospital intubation poses several unique challenges. Video assisted laryngoscopy has been shown to help increase intubation success in the hospital setting; however, little prospective data have examined video assisted laryngoscopy in traditional ground ambulance agencies.

Methods: We performed a randomized, cross-over, non-blinded trial in ground ambulances comparing first attempt success and overall intubation success between video assisted laryngoscopy using the King Video Laryngoscope (KVL) and direct laryngoscopy (DL).

Procedures Performed by Emergency Medical Services in the United States.

Emergency medical services (EMS) must provide a wide range of care for patients in the out-of-hospital setting. Although previous work has detailed that EMS providers rarely perform certain procedures, (e.g.

Pediatric Out-of-Hospital Critical Procedures in the United States.

Objective: Regular clinical application is important for maintenance of difficult resuscitation skills. Although emergency medical services must provide life-saving care for critically ill and injured children, the frequency with which these procedures are performed is unknown. We sought to characterize critical pediatric procedures performed by emergency medical service personnel in the United States.