EBQ:Japanese OHCA Prehospital Airway Management Trial: Difference between revisions
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==Clinical Question== | ==Clinical Question== | ||
Do patients with out of hospital cardiac arrest have more favorable neurological outcome with advanced airway management by EMS compared to conventional bag-valve-mask ventilation? | |||
Both supraglottic and endotracheal intubation will be associated with more favorable neurologic outcomes. | |||
==Conclusion== | ==Conclusion== | ||
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==Inclusion Criteria== | ==Inclusion Criteria== | ||
*January 1, 2005 to December 31, 2010 | |||
*Japanese EMS database | |||
*18 years older who had out of hospital cardiac arrest | |||
*Resuscitation was attempted by EMS and patient was transported to hospital | |||
==Exclusion Criteria== | ==Exclusion Criteria== | ||
*no age recorded for cardiac arrest | |||
*out of hospital airway records were not documented | |||
==Interventions== | ==Interventions== | ||
*advanced airway devices placed with either endotracheal intubation or supraglottic airway | |||
*providers had 2 attempts to place airway | |||
*advanced airway confirmed with end-tidal CO2 and/or esophageal detection device | |||
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===Primary Outcomes=== | ===Primary Outcomes=== | ||
*favorable neurological outcome at 1 month after cardiac arrest | |||
===Secondary Outcomes=== | ===Secondary Outcomes=== | ||
Revision as of 12:39, 6 July 2017
incomplete Journal Club Article
Hasegawa, K et al. "Association of Prehospital Advanced Airway Management With Neurologic Outcome and Survival in Patients With Out-of-Hospital Cardiac Arrest". JAMA. 2012. 309 (3)(187612):257–266.
PubMed Full text PDF
PubMed Full text PDF
Clinical Question
Do patients with out of hospital cardiac arrest have more favorable neurological outcome with advanced airway management by EMS compared to conventional bag-valve-mask ventilation?
Both supraglottic and endotracheal intubation will be associated with more favorable neurologic outcomes.
Conclusion
Major Points
Inclusion Criteria
- January 1, 2005 to December 31, 2010
- Japanese EMS database
- 18 years older who had out of hospital cardiac arrest
- Resuscitation was attempted by EMS and patient was transported to hospital
Exclusion Criteria
- no age recorded for cardiac arrest
- out of hospital airway records were not documented
Interventions
- advanced airway devices placed with either endotracheal intubation or supraglottic airway
- providers had 2 attempts to place airway
- advanced airway confirmed with end-tidal CO2 and/or esophageal detection device
Outcome
Primary Outcomes
*favorable neurological outcome at 1 month after cardiac arrest