en
Scientific article
Open access
English

Impact of Operator Medical Specialty on Endotracheal Intubation Rates in Prehospital Emergency Medicine — A Retrospective Cohort Study

Published inJournal of clinical medicine, vol. 11, no. 7, 1992
Publication date2022-04-02
First online date2022-04-02
Abstract

Prehospital endotracheal intubation (ETI) can be challenging, and the risk of complications is higher than in the operating room. The goal of this study was to compare prehospital ETI rates between anaesthesiologists and non-anaesthesiologists. This retrospective cohort study compared prehospital interventions performed by either physicians from the anaesthesiology department (ADP) or physicians from another department (NADP, for non-anaesthesiology department physicians). The primary outcome was the prehospital ETI rate. Overall, 42,190 interventions were included in the analysis, of whom 68.5% were performed by NADP. Intubation was attempted on 2797 (6.6%) patients, without any difference between NADPs and ADPs (6.5 versus 6.7%, p = 0.555). However, ADPs were more likely to proceed to an intubation when patients were not in cardiac arrest (3.4 versus 3.0%, p = 0.026), whereas no difference was found regarding cardiac arrest patients (65.2 versus 67.7%, p = 0.243) (p for homogeneity = 0.005). In a prehospital physician-staffed emergency medical service, overall ETI rates did not depend on the frontline operator’s medical specialty background. ADPs were, however, more likely to proceed with ETI than NADPs when patients were not in cardiac arrest. Further studies should help to understand the reasons for this difference.

eng
Keywords
  • Anaesthesiologist
  • Education
  • Intubation
  • Prehospital
  • Specialty
  • Supervision
  • Training
Citation (ISO format)
FEHLMANN, Christophe et al. Impact of Operator Medical Specialty on Endotracheal Intubation Rates in Prehospital Emergency Medicine — A Retrospective Cohort Study. In: Journal of clinical medicine, 2022, vol. 11, n° 7, p. 1992. doi: 10.3390/jcm11071992
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Article (Published version)
Identifiers
ISSN of the journal2077-0383
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