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EMERGENCY MEDICINE RESIDENT TRAUMA INTUBATION SUCCESS AND PRIOR INTUBATION EXPERIENCE

Published:December 19, 2022DOI:https://doi.org/10.1016/j.jemermed.2022.12.006

      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 attempt 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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      Biography

      Number Successful by EM Resident or Supervising Attending (%)