Prehospital Endotracheal Intubation for Trauma Does Not Improve Survival over Bag-Valve-Mask Ventilation
Abstract
Background Few data exist supporting a survival benefit to prehospital endotracheal intubation (ETI) over bag-valve-mask ventilation (BVM) in trauma patients. Methods Data were reviewed from all trauma patients transported to our Level I trauma center receiving prehospital ETI or BVM. Mortality was adjusted by age, Revised Trauma Score, Injury Severity Score, and mechanism of injury (penetrating vs. blunt). Results Of 5,773 patients, 316 (5.5%) had ETI and 217 (3.8%) had BVM. Patients receiving ETI were significantly more like to die (88.9% vs. 30.9%, p Conclusion In our trauma system, when corrected for mechanism and severity of anatomic and physiologic injury, ETI confers no survival advantage over BVM and slightly increases prehospital time.
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Prehospital advanced airway management may increase mortality for trauma patients in some circumstances.
“there is a growing body of evidence that prehospital advanced airway management may increase mortality for trauma patients in some circumstances.8,[12][13][14]”
From Airway Management in Trauma (2018) · cites this paper as [12]
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Kovacs, G., & Sowers, N. (2018) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2017.08.006 · Cited by 115 · see citing works
- Authors
- Stockinger, Z. T., & McSwain, N. E.
- Affiliations
- Tulane University (US)
- Venue
- The Journal of Trauma: Injury, Infection, and Critical Care
- Published
- 2004-03
- Volume
- 56
- Issue
- 3
- Pages
- 531-536
- ISSN
- 0022-5282 (ISSN-L)
- OpenAlex
- W2044269676
- Cited by
- 173
- References
- 0
- Citations by year
- 2026: 1 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 5 · 2020: 5 · 2019: 8 · 2018: 6 · 2017: 1 · 2016: 8 · 2015: 11 · 2014: 11 · 2013: 6 · 2012: 5
- FWCI
- 13.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Trauma: Injury, Infection, and Critical Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
- Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- prehospital endotracheal intubation, bag-mask ventilation, trauma patients, survival, mortality, prehospital time, trauma resuscitation, penetrating trauma, blunt trauma, Injury Severity Score, Revised Trauma Score
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Emergency Medical Services, Equipment Design, Female, Hospitals, University, Humans, Intubation, Intratracheal, Louisiana, Male, Middle Aged, Neurologic Examination, Respiration, Artificial, Retrospective Studies, Thoracic Injuries, Trauma Centers, Wounds, Nonpenetrating, Wounds, Penetrating, Trauma Severity Indices, Survival Rate, Treatment Outcome, Hospital Mortality
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