ArticleJournal of clinical medicine2020
Endotracheal Intubation Success Rate in an Urban, Supervised, Resident-Staffed Emergency Mobile System: An 11-Year Retrospective Cohort Study.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
19 citing papers in PubMed, 29 citations in OpenAlex.
- Effect of an E-Learning Module on Personal Protective Equipment Proficiency Among Prehospital Personnel: Web-Based Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Teaching the National Institutes of Health Stroke Scale to Paramedics (E-Learning vs Video): Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Application of the PDCA cycle management in quality improvement of endotracheal intubation in emergency department among standardised training residents.BMC medical education · 2026Article
- Indications, techniques, success rates and complications of emergency airway management in Thuringian emergency departments: a prospective registry analysis.World journal of emergency medicine · 2026Article
- Advanced Airway Device Use Order During Out-of-Hospital Cardiac Arrest.JAMA network open · 2026Article
- Prehospital emergency anesthesia: A single-center retrospective analysis of guideline adherence and unexpected incidents.PloS one · 2024Article
- Development of a Pilot Introductory Advanced Cardiovascular Resuscitation Course for Senior Medical Students in Switzerland: Student-Driven Implementation Study.Interactive journal of medical research · 2023Article
- Association Between Prehospital Blood Glucose Levels and Outcomes in Patients With COVID-19 Infection: A Retrospective Cohort Study.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2023Article
- Impact of Operator Medical Specialty on Endotracheal Intubation Rates in Prehospital Emergency Medicine-A Retrospective Cohort Study.Journal of clinical medicine · 2022Article
- A retrospective cohort study on association of age and physician decision making for or against rapid sequence intubation in unconscious patients.Scientific reports · 2022Article
- Predictors for Prehospital First-Pass Intubation Success in Germany.Journal of clinical medicine · 2022Article
- Effect of Early Supraglottic Airway Device Insertion on Chest Compression Fraction during Simulated Out-of-Hospital Cardiac Arrest: Randomised Controlled Trial.Journal of clinical medicine · 2021Article
- Methoxyflurane in Non-Life-Threatening Traumatic Pain-A Retrospective Observational Study.Healthcare (Basel, Switzerland) · 2021Article
- Factors Influencing Physician Decision Making to Attempt Advanced Resuscitation in Asystolic Out-of-Hospital Cardiac Arrest.International journal of environmental research and public health · 2021Article
- Effect on Chest Compression Fraction of Continuous Manual Compressions with Asynchronous Ventilations Using an i-gelHealthcare (Basel, Switzerland) · 2021Article
- Evaluation of a Prehospital Rotation by Senior Residents: A Web-Based Survey.Healthcare (Basel, Switzerland) · 2020Article
- Teaching Adequate Prehospital Use of Personal Protective Equipment During the COVID-19 Pandemic: Development of a Gamified e-Learning Module.JMIR serious games · 2020Article
- Endotracheal Intubation Success Rate in an Urban, Supervised, Resident-Staffed Emergency Mobile System: An 11-Year Retrospective Cohort Study.Journal of clinical medicine · 2020Article
- Outcomes of Prehospital versus Emergency Department Intubation in Patients Managed by Emergency Medical Services.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIn the prehospital setting, endotracheal intubation (ETI) is sometimes required to secure a patient's airways. Emergency ETI in the field can be particularly challenging, and success rates differ widely depending on the provider's training, background, and experience. Our aim was to evaluate the ETI success rate in a resident-staffed and specialist-physician-supervised emergency prehospital system.
methodsThis retrospective study was conducted on data extracted from the Geneva University Hospitals' institutional database. In this city, the prehospital emergency response system has three levels of expertise: the first is an advanced life-support ambulance staffed by two paramedics, the second is a mobile unit staffed by an advanced paramedic and a resident physician, and the third is a senior emergency physician acting as a supervisor, who can be dispatched either as backup for the resident physician or when a regular Mobile Emergency and Resuscitation unit (Service Mobile d'Urgence et de Réanimation, SMUR) is not available. For this study, records of all adult patients taken care of by a second- and/or third-level prehospital medical team between 2008 and 2018 were screened for intubation attempts. The primary outcome was the success rate of the ETI attempts. The secondary outcomes were the number of ETI attempts, the rate of ETI success at the first attempt, and the rate of ETIs performed by a supervisor.
resultsA total of 3275 patients were included in the study, 55.1% of whom were in cardiac arrest. The overall ETI success rate was 96.8%, with 74.4% success at the first attempt. Supervisors oversaw 1167 ETI procedures onsite (35.6%) and performed the ETI themselves in only 488 cases (14.9%).
conclusionA resident-staffed and specialist-physician-supervised urban emergency prehospital system can reach ETI success rates similar to those reported for a specialist-staffed system.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.