OK, the argument on pre hospital intubation has been going on for some time now. Should we or shouldn’t we. How do we train, remain competent and prove that we can do it, successfully every time. Is that 100% success rate a realistic number? What have you done to improve your success? What can be done as an industry to improve and prove our success?
Thanks to Sean M. Kivlehan, MD, MPH, NREMT-P for calling in. Be sure to take advantage of Sean’s CE articles over at EMS World – Continuing Education Articles
Also thanks to Garth from the EMS blog Drug-Induced Hallucinations for sending me some great info and feedback on this topic.
Check out RogueMedic.com for some pre hospital intubation posts that are sure to get the juices flowing.
Finally, here are some articles on the topic that are of interest.
No difference in the time needed or success rates between ETI or King airway: http://www.ncbi.nlm.nih.gov/pubmed/21763247
Paramedic RSI improves neurologic outcomes at 6 months: http://www.ncbi.nlm.nih.gov/pubmed/21107105
Dutch paramedics have a 95% success rate at ETI, even with a low overall number of intubations. ETCO2 is strongly recommended: http://www.ncbi.nlm.nih.gov/pubmed/21612142
Policy Statement from ACEP cautiously supporting prehospital RSI: http://www.acep.org/content.aspx?id=29188