Assessing the Impact of Prehospital Intubation on Survival in Out-of-Hospital Cardiac Arrest

@article{Egly2011AssessingTI,
  title={Assessing the Impact of Prehospital Intubation on Survival in Out-of-Hospital Cardiac Arrest},
  author={Joshua Egly and Don Custodio and Nathan Bishop and M. V. Prescott and Victoria C. Lucia and Raymond E. Jackson and Robert A. Swor},
  journal={Prehospital Emergency Care},
  year={2011},
  volume={15},
  pages={44 - 49}
}
UNLABELLED There is a developing body of literature documenting adverse survival outcome of out-of-hospital endotracheal intubation for critical multiple trauma and head injury patients. [] Key MethodMETHODS We conducted a retrospective analysis from an ongoing database of OHCA patients brought to a large suburban tertiary care emergency department by paramedic services between 1995 and 2006.
Airways in Out-of-hospital Cardiac Arrest: Systematic Review and Meta-analysis
TLDR
This meta-analysis shows decreased survival for AAIs used out-of-hospital in cardiac arrest, but are likely biased due to confounding, especially confounding by indication.
Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest.
TLDR
Among adult patients with OHCA, any type of advanced airway management was independently associated with decreased odds of neurologically favorable survival compared with conventional bag-valve-mask ventilation.
Is out-of-hospital intubation by paramedics valid enough to be continued?
TLDR
It was reported that out-of-hospital intubation by paramedics was associated with increased incidence of sustained return of spontaneous circulation comparing with bag-valve-mask ventilation and alternative airway techniques, and it was revealed that out of-hospital Intubation did not improve clinically robust outcomes (i.e., survival to discharge and neurological performance).
The Outcomes of Endotracheal Intubation versus Non-Endotracheal Intubation during Cardiopulmonary Arrest in the Emergency Department
TLDR
Although non-endotracheal intubation during cardiopulmonary arrest is not common, it is encouraged the increased use of bag-valve mask and laryngeal mask airway as they are associated with better outcomes.
CARING FOR THE CRITICALLY ILL PATIENT Association of Prehospital Advanced Airway Management With Neurologic Outcome and Survival in Patients With Out-of-Hospital Cardiac Arrest
TLDR
Although advanced airway management, such as endotracheal intubation or insertion of supraglottic airways, has long been the criterion standard forAirway management of patients with OHCA, recent studies have challenged the survival benefit of advanced airways management compared with conventional bag-valvemask ventilation in this clinical.
ASSOCIATED WITH OUT-OF-HOSPITAL ENDOTRACHEAL INTUBATION
TLDR
The medical conditions and comorbidities of patients receiving successful paramedic out-of-hospital ETI are characterized, using Pennsylvania statewide emergency medical services (EMS) clinical data, including all successful ETIs performed during 2003–2005.
Medical Conditions Associated with Out-of-Hospital Endotracheal Intubation
TLDR
The majority of successful paramedic ETIs occur on patients with cardiac arrest and circulatory and respiratory conditions, and patients undergoing ETI have multiple comorbidities, which may guide the systemic planning of paramedic airway management care and education.
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References

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TLDR
Reasonable success and complication rates of endotracheal intubation in the out-of-hospital setting can be achieved in a busy, urban EMS system without the assistance of medications.
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TLDR
The changes to the prehospital protocol for adult cardiac arrest that optimized chest compressions and reduced disruptions increased the return of spontaneous circulation and survival to discharge in the patient population.
The impact of prehospital endotracheal intubation on outcome in moderate to severe traumatic brain injury.
TLDR
Prehospital intubation is associated with a decrease in survival among patients with moderate-to-severe TBI, and more critically injured patients may benefit from pre Hospital Intubation but may be difficult to identify prospectively.
Environmental Factors Encountered During Out-of-Hospital Intubation Attempts
TLDR
The out-of-hospital intubation environment is significantly different from that of in-hospital providers and Paramedics frequently have a poor physical operating environment and encounter significant distractions while trying to perform endotrachealintubation.
Continuous Improvements in “Chain of Survival” Increased Survival After Out-of-Hospital Cardiac Arrests: A Large-Scale Population-Based Study
TLDR
Data from a large, population-based cohort demonstrate a continuous increase in OHCA survival with improvement in the chain of survival, and the incremental benefit of early advanced care onOHCA survival is suggested.
How many attempts are required to accomplish out-of-hospital endotracheal intubation?
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    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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TLDR
A protocol limit of three attempts offers reasonable opportunity for accomplishing ETI within the constraints of the out-of-hospital environment.
Unrecognized Misplacement of Endotracheal Tubes by Ground Prehospital Providers
TLDR
The rate of esophageal misplacements of endotracheal tubes in the prehospital environment in the urban setting and the poor clinical course of patients with unrecognized misplacement is consistent with previous reports, suggesting that the benefit of prehospital airway management does not clearly supercede the potential risks.
Does the type of out-of-hospital airway interfere with other cardiopulmonary resuscitation tasks?
TLDR
Compared with TI, ETC reduced time to airway placement and time without chest compressions, but did not affect elapsed times to accomplish other interventions, if translated to clinical out-of-hospital conditions.
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