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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Trauma intubations: can a protocol-driven approach be successful?
Zoe C Casey1, Alan J Smally, Robert J Grant
1Emergency Department, Connecticut Children's Medical Center, Hartford Hospital, Hartford, Connecticut, USA. zcasey@ccmckids.org
The Journal of Trauma
|December 20, 2007
Summary
A trauma airway protocol demonstrated a 91.6% success rate for intubation within three attempts. This protocol ensures safe and effective emergency airway management in trauma patients.
Area of Science:
- Emergency Medicine
- Trauma Care
- Airway Management
Background:
- Establishing a secure airway is critical for trauma patient survival.
- Protocols standardize care and improve outcomes in emergency settings.
Purpose of the Study:
- To evaluate the effectiveness of a specific trauma airway protocol.
- To determine the success rate of endotracheal intubation under this protocol.
Main Methods:
- Prospective cohort study over 24 months at a Level I trauma center.
- Involved 274 trauma patients requiring intubation.
- Tracked intubation attempts, success rates, complications, and personnel involved.
Main Results:
- Achieved a 91.6% success rate for intubation within three attempts.
- Reported a 9.8% complication rate and a 2.6% cricothyrotomy rate.
- Utilized both emergency medicine physicians and anesthesiologists for intubation.
Conclusions:
- The implemented trauma airway protocol is safe and effective.
- Supports the protocol for managing challenging trauma airways.
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