Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services. Air Med J 2023;42(6):436-439
Date
11/24/2023Pubmed ID
37996178DOI
10.1016/j.amj.2023.07.004Scopus ID
2-s2.0-85168369585 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
OBJECTIVE: Intubation is a vital skill performed by flight nurses and paramedics. Before flight training, nurses do not routinely intubate and must be trained in proper techniques. Flight paramedics universally train in intubation before flight training and are the primary managers of in-flight airways. The aim of this study was to determine if a difference exists in intubation attempts and success rates between flight nurses and flight paramedics.
METHODS: A 5-year retrospective chart review was performed from a regional helicopter emergency medical service. Intubation attempts and the success of flight nurses compared with flight paramedics were the primary outcomes.
RESULTS: Three hundred three of 322 cases in which intubation was attempted were successful. Three hundred forty-four total intubation attempts were made. Two hundred seventy-one (88.9%) patients were intubated by paramedics, and 32 (10.5%) were intubated by nurses. Of the 19 unsuccessfully intubated patients, 14 (73.7%) were attempted by a paramedic and 5 (26.3%) by a nurse. Two hundred seventy-seven intubations were successful on the first attempt, 250 (90.3%) of which were performed by a paramedic and 27 (9.7%) by a nurse.
CONCLUSION: Flight paramedics performed more intubations with greater success than flight nurses.
Author List
Thompson G, Miller B, Lenz TJAuthor
Timothy John Lenz MD Associate Professor in the Emergency Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AircraftEmergency Medical Services
Emergency Medical Technicians
Humans
Intubation, Intratracheal
Retrospective Studies
