Emergency medical technician vs. paramedic-placed supraglottic airways for out-of-hospital cardiac arrests
Main finding · First-pass success (SGA)Result — go to the resultAdjusted odds ratio 0.93 CI 0.89–0.98Authors' conclusion
The proportion of SGAs placed by EMTs and the proportion of EMS agencies with EMT-placed SGAs have increased over time. The FPS rate was similar between EMT and paramedic-placed SGAs.
Study context
- Population
- Adult out-of-hospital cardiac arrest (OHCAs) with supraglottic airways (SGA) insertion on first airway attempt, NEMSIS database 2019–2023
- Participants
- 189,307 OHCAs
- Exposure
- EMT-placed vs paramedic-placed SGAs
- Emergency medical technicians (EMTs)n = 41,035
- Paramedicsn = 148,272reference
- Outcome
- First-pass success (SGA)
Methodological detailsregistry (NEMSIS database), mixed-model logistic regression
- Registry (NEMSIS database)
- Mixed-model logistic regression
Main finding
As reported in the abstract
Adjusted odds ratio
0.93
CI 0.89–0.98
By group
EMTs vs Paramedics
aOR 0.93 (CI 0.89–0.98)
Observational data: associations, not effects.
Further findings
EMT-placed SGAs over time · 2019 to 2023
- EMT-placed SGAs 2019
- 3140 (20.6%)
- EMT-placed SGAs 2023
- 10,371 (23.3%)
- p < 0.01
Emergency Medical Services (EMS) agencies with EMT-placed SGAs over time · 2019 to 2023
- Agencies 2019
- 664 (38.0%)
- Agencies 2023
- 1525 (51.7%)
Regions with highest proportions of EMT-placed SGAs
- West North Central
- 38.9%
- East North Central
- 31.4%
- Mountain
- 25.0%
Original publication
Emergency medical technician vs. paramedic-placed supraglottic airways for out-of-hospital cardiac arrests. Resuscitation. Published 9 March 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →