187: Emergency Intubation in a Scottish Urban Emergency Department: An Eight-Year Analysis

Kerslake, Dean; Oglesby, Angela J.; Beard, D.; McKeown, Dermot

doi:10.1016/j.annemergmed.2008.01.156

Cited by 7 publications

(6 citation statements)

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“…The case-mix of patients requiring RSI in this study is comparable with previous reports from other Scottish hospitals 5 6. Trauma remains the most common reason for RSI.…”

Section: Discussionsupporting

confidence: 86%

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Training and competency in rapid sequence intubation: the perspective from a Scottish teaching hospital emergency department

Donald

2010

Emergency Medicine Journal

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“…The case-mix of patients requiring RSI in this study is comparable with previous reports from other Scottish hospitals 5 6. Trauma remains the most common reason for RSI.…”

Section: Discussionsupporting

confidence: 86%

“…This is the highest frequency of EP RSI practice documented in the UK literature. Previous studies from Scotland show that anaesthetists are providing the service approximately 50% of the time 2 5 6. A survey from England and Wales suggests that in only 1% of EDs do EPs routinely perform RSI 3…”

Section: Discussionmentioning

confidence: 99%

Training and competency in rapid sequence intubation: the perspective from a Scottish teaching hospital emergency department

Donald

2010

Emergency Medicine Journal

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“…In the UK the exact risks of emergency department (ED) RSI are unknown, as there is no reliable report of the number of patients undergoing RSI in UK EDs, the case mix, indications or staff involved. Data from three EDs in Scotland show an increasing trend towards RSI by emergency physicians, with similar rates of successful intubation and complications to those achieved by anaesthetists 4 6 7. However, a telephone survey of UK EDs reported in 2007 indicated that the majority of ED RSI is still undertaken by anaesthetic staff 8…”

Section: Introductionmentioning

confidence: 97%

Rapid sequence induction of anaesthesia in UK emergency departments: a national census

Benger

Hopkinson

2010

Emergency Medicine Journal

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Introduction Rapid sequence induction of anaesthesia and tracheal intubation (RSI) is an integral part of modern emergency care. Previously, emergency department (ED) RSI has been provided by anaesthetists, but UK emergency physicians are increasingly developing this skill. We undertook a 2-week census of ED RSI to establish a baseline of current practice. Methods All 115 UK College of Emergency Medicine airway leads were contacted and asked to return anonymised data on every drug-assisted intubation occurring in their ED during a 2-week period in September 2008. The number of RSIs and also the total number of ED attendances during the same period were requested. Results Complete data were returned from 64 EDs (56%). The total number of patients undergoing RSI was 218, with an incidence of 0.12%, or approximately one in every 800 ED attendances. Anaesthetic staff undertook 80% of ED RSIs, predominantly senior anaesthetic trainees of specialist trainee year 3 (ST3) or above. During normal office hours 74% of these anaesthetic trainees were supervised during the procedure, with a significant fall in supervision rates to 15% outside normal office hours (p<0.00001 on c 2 testing). Discussion The 0.12% incidence of ED RSI is consistent with previous studies, as is the finding that only 20% are performed by emergency physicians. The relative infrequency of ED RSI and increasing pool of staff has important implications for training and skills maintenance. Despite the acknowledged difficulty of this technique, nearly half of all ED RSIs are done by unsupervised trainees.

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“…Several studies have been published that describe the performance of intubation in the EDs of North America and the UK …”

Section: Introductionmentioning

confidence: 99%

Prospective observational study of the practice of endotracheal intubation in the emergency department of a tertiary hospital in Sydney, Australia

Fogg

Annesley

Hitos

et al. 2012

Emerg Medicine Australasia

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187: Emergency Intubation in a Scottish Urban Emergency Department: An Eight-Year Analysis

Cited by 7 publications

References 0 publications

Training and competency in rapid sequence intubation: the perspective from a Scottish teaching hospital emergency department

Training and competency in rapid sequence intubation: the perspective from a Scottish teaching hospital emergency department

Rapid sequence induction of anaesthesia in UK emergency departments: a national census

Prospective observational study of the practice of endotracheal intubation in the emergency department of a tertiary hospital in Sydney, Australia

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