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  • Title: Trauma intubations: can a protocol-driven approach be successful?
    Author: Casey ZC, Smally AJ, Grant RJ, McQuay J.
    Journal: J Trauma; 2007 Oct; 63(4):955-60. PubMed ID: 18090030.
    Abstract:
    OBJECTIVE: To determine the success rate of a trauma airway protocol. METHODS: This was a prospective cohort study of trauma patients requiring intubation conducted for 24 months. The study facility is a Level I trauma center serving an urban population. The protocol suggests that the first two attempts at intubation be by the third-year emergency medicine resident, a hospital-wide stat overhead page for anesthesia occurs, which results in anesthesia (occasionally a resident only, but usually an attending) presence in the trauma room in 5 to 10 minutes. After each intubation, the emergency medicine resident or the attending physician completed a data collection form indicating the number of intubation attempts and result of each one, who performed each attempt, complications related to each attempt, and airway adjuncts used. RESULTS: Two hundred seventy-four patients were intubated during the study period by either emergency medicine physician or anesthesiologist with a success rate of 91.6% after the third attempt. The complication and cricothyrotomy rates were 9.8% and 2.6%, respectively. CONCLUSION: Our trauma airway protocol allows for the safe and effective management of the trauma airway.
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