Evidence map›Paper›PMID 40797278›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025

Endotracheal intubation during cardiac arrest by critical care paramedics: a service evaluation of success rates following structured education.

Thomas Appelboam, Simon Laing, Nigel Lang

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Thomas AppelboamUniversity of Birmingham Medical School, College of Medical and Dental Sciences, Birmingham, England.
Simon LaingDevon Air Ambulance Trust, Sandpiper Court, Pinhoe, Exeter, UK.
Nigel LangDevon Air Ambulance Trust, Sandpiper Court, Pinhoe, Exeter, UK. N.Lang@Daat.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndotracheal intubation is an important pre-hospital intervention in critically ill patients. However, it can be a challenging skill, and previous studies have highlighted varying success rates. The European Resuscitation Council (ERC) have set a clear target of a greater than 95% success rate within two attempts, for all clinicians who provide endotracheal intubation during cardiac arrest. This service evaluation looks to explore the impact of training and education on the intubation performance of critical care paramedics.

methodsRetrospective data was collected from a single service over a six year period, from April 2019 to December 2024. During that time period, a number of educational or organisational interventions were introduced, with the aim of improving endotracheal intubation success rates. Data from all intubation attempts for patients in cardiac arrest by critical-care paramedics working with the Devon Air Ambulance Trust were recorded. The primary outcome was the rate of success of endotracheal intubation within two attempts. Secondary outcomes included the rate of first-pass success and the number of patients who had a failed first intubation attempt and did not receive a subsequent attempt. A Chi-squared statistical test was used to judge the significance of change between data from the years 2019 and 2024.

results390 patients were included and reviewed. Between 2019 and 2024, success rates within two attempts improved by 7.9% points (χ

conclusionsImplementation of a training and education programme was associated with a significant improvement in endotracheal intubation success rates within the service. With dedicated training, critical care paramedics demonstrate safe and effective endotracheal intubation for patients in out-of-hospital cardiac arrest, meeting the ERC recommendations of a greater than 95% success rate within two attempts at intubation.

Indexed as

Cardiopulmonary ResuscitationClinical CompetenceIntubation, IntratrachealOut-of-Hospital Cardiac ArrestParamedicsAir AmbulancesHumansRetrospective StudiesAirwayCritical careEducationEmergency medicineIntubationParamedicineParamedicsResuscitation

Identifiers

PMID40797278
PMCPMC12341076

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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.