Abstract
Background
Emergency medicine residents are often involved in the management of trauma airways.
There are few data on the correlation between prior intubation experience and first-pass
trauma intubation success for emergency medicine residents.
Objectives
We attempted to elucidate a relationship between prior resident intubation experience
and first-pass success for trauma patient intubation.
Methods
We combined two data sets to assess for correlation between prior intubation experience
for postgraduate year 2 and 3 residents and first-pass success for trauma patient
intubation. Prior intubation experience was gathered from resident procedure logs
and trauma intubation data were collected as part of a quality-monitoring program.
A univariable logistic regression analysis for all available variables was performed,
with first-pass intubation success as the outcome of interest.
Results
We included 295 consecutive trauma patients intubated at a Level I trauma center where
we could link the resident prior intubation experience (total intubations) with intubation
attempt quality data. First-pass success for all emergency medicine residents was
82.3% (233/283). Overall successful intubation rate for emergency medicine residents
was 90.4% (256/283). The combination of airway management by both the resident and
emergency medicine attending provided an overall success rate of 97.3% (287/295).
There was no statistically significant association between first-pass success and
prior resident intubation experience or any of the other measured variables.
Conclusion
We did not demonstrate any significant correlation between first-pass intubation success
and number of prior intubations performed by the emergency medicine resident.
Keywords
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Article info
Publication history
Published online: December 19, 2022
Accepted:
December 13,
2022
Received in revised form:
August 9,
2022
Received:
May 16,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
