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Correlation of Preflight Risk Assessment Scores With First-Pass Intubation Success in a Critical Care Transport
Arpan R Kothari1, Howard A Werman2
1William Beaumont Army Medical Center, Fort Bliss, TX.
Air Medical Journal
|January 29, 2023
Summary
Crew fatigue did not impact first-pass intubation success in a clinical transport setting. Further research is needed to assess fatigue
Area of Science:
- Emergency Medicine
- Critical Care
- Human Factors in Medicine
Background:
- Crew fatigue is a significant concern in high-risk clinical environments.
- Understanding its impact on procedural skills is crucial for patient safety.
Purpose of the Study:
- To investigate the effect of crew fatigue on the performance of a critical clinical skill.
- Specifically, to analyze first-pass intubation success rates in relation to provider fatigue.
Main Methods:
- Retrospective analysis of intubation attempts in a clinical transport setting.
- Comparison of first-pass success rates between critical care providers reporting fatigue and those who did not.
Main Results:
- No statistically significant difference was observed in first-pass intubation success between fatigued and non-fatigued practitioners.
- Self-reported fatigue did not appear to impair this specific high-risk skill.
Conclusions:
- The study suggests that crew fatigue may not directly affect first-pass intubation success in this context.
- Further investigation is recommended to explore fatigue's impact on psychomotor and cognitive skills using validated fatigue assessment methods.
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