Longitudinal Changes in Emergency Medical Services Advanced Airway Management
Authors' conclusion
In this national cross-sectional study of EMS care episodes, there were marked shifts in advanced airway management practices, with the increased use of SGA and decreased use of ETI.
Study context
- Population
- 911 emergency medical services (EMS) events with attempted advanced airway management, ESO Data Collaborative, US, 2011 to 2022
- Participants
- 305,584 vs 200,437
- Exposure
- Longitudinal trends in endotracheal intubation (ETI) vs supraglottic airway (SGA) use, 2011 to 2022
- ETIn = 305,584
- SGAn = 200,437
- Outcome
- Annual percentage of ETI and SGA attempts, stratified by underlying condition (cardiac arrest, nonarrest medical, nonarrest trauma, pediatrics)
Methodological detailsnational database of US prehospital electronic health records, Data analyzed from November 2022 to January 2024
- National database of US prehospital electronic health records
- Data analyzed from November 2022 to January 2024
Main finding
As reported in the abstract
ETI attempts decreased, 2011
2470 of 2831
87.3%
ETI attempts, 2022
40 083 of 72 793
55.1%
SGA attempts increased, 2011
711 of 2831
25.1%
SGA attempts, 2022
44 386 of 72 793
61.0%
Observational data: associations, not effects.
Further findings
Overall use of advanced airway management
- Overall use of advanced airway management — Overall incidence of advanced airway management
- 9.3 per 1000 EMS events
ETI and SGA attempts, pediatric subset (subgroup), 2011 vs 2022
- ETI attempts decreased, 2011
- 117 of 182 EMS events (97.3%)
- ETI attempts, 2022
- 1573 of 2307 EMS events (68.2%)
- SGA attempts increased, 2011
- 11 of 182 EMS events (6.6%)
- SGA attempts, 2022
- 1058 of 2307 EMS events (45.9%)
ETI and SGA attempts, nonarrest medical and nonarrest trauma cohorts (subgroups)
- ETI attempts decreased and SGA attempts increased, to a much lower extent
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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