Prehospital pediatric endotracheal intubation performance review

J. D. Losek, W. A. Bonadio, C. Walsh-Kelly, H. Hennes, D. S. Smith, P. W. Glaeser

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Pediatric prehospital care was reviewed over an one-year period to determine success rate, causes of unsuccessful attempts, and complications of performing endotracheal intubation. The Milwaukee County Emergency Medicine Technician-Paramedics (EMT-Ps) responded to 1467 pediatric (< 19 years of age) patient calls. This accounted for 11% of the patients who received EMT-P care during the study period. Of the 63 patients requiring pediatric endotracheal intubation, 49 (78%) were successfully intubated. Of the 42 pulseless nonbreathing (PNB) patients, 39 (93%) were successfully intubated. Of the 21 patients judged to be in impending respiratory failure, 10 (48%) were successfully intubated. Common difficulties in intubating the PNB patient included inability to visualize the glottis and cords secondary to mucus and/or vomitus, use of inappropriately small endotracheal tubes, and accidental extubation during transport. Difficulties in intubating impending respiratory failure patients included patient resistance and seizure activity. We recommend that the EMT-P training curriculum include a review of these difficulties and that prehospital pediatric endotracheal intubation performance be monitored and reviewed with the EMT-Ps.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalPediatric Emergency Care
Volume5
Issue number1
StatePublished - 1989

Fingerprint

Intratracheal Intubation
Pediatrics
Respiratory Insufficiency
Emergency Medical Technicians
Glottis
Allied Health Personnel
Mucus
Curriculum
Seizures

ASJC Scopus subject areas

  • Emergency Medicine
  • Pediatrics, Perinatology, and Child Health
  • Nursing(all)

Cite this

Losek, J. D., Bonadio, W. A., Walsh-Kelly, C., Hennes, H., Smith, D. S., & Glaeser, P. W. (1989). Prehospital pediatric endotracheal intubation performance review. Pediatric Emergency Care, 5(1), 1-4.

Prehospital pediatric endotracheal intubation performance review. / Losek, J. D.; Bonadio, W. A.; Walsh-Kelly, C.; Hennes, H.; Smith, D. S.; Glaeser, P. W.

In: Pediatric Emergency Care, Vol. 5, No. 1, 1989, p. 1-4.

Research output: Contribution to journalArticle

Losek, JD, Bonadio, WA, Walsh-Kelly, C, Hennes, H, Smith, DS & Glaeser, PW 1989, 'Prehospital pediatric endotracheal intubation performance review', Pediatric Emergency Care, vol. 5, no. 1, pp. 1-4.
Losek JD, Bonadio WA, Walsh-Kelly C, Hennes H, Smith DS, Glaeser PW. Prehospital pediatric endotracheal intubation performance review. Pediatric Emergency Care. 1989;5(1):1-4.
Losek, J. D. ; Bonadio, W. A. ; Walsh-Kelly, C. ; Hennes, H. ; Smith, D. S. ; Glaeser, P. W. / Prehospital pediatric endotracheal intubation performance review. In: Pediatric Emergency Care. 1989 ; Vol. 5, No. 1. pp. 1-4.
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