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Evaluation of Physiologic Alterations during Prehospital Paramedic-Performed Rapid Sequence Intubation.

Robert G WalkerLynn J WhiteGeneva N WhitmoreAlexander EsibovMichael K LevyGregory C CoverJoel D EdminsterJames M Nania
Published in: Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors (2018)
In this study, the majority of peri-intubation physiologic alterations occurred on first-attempt success, highlighting that first-attempt success is an incomplete and potentially deceptive measure of intubation quality. Supplementing the standard patient care documentation with electronic monitoring data can identify unrecognized physiologic instability during prehospital RSI and provide valuable guidance for quality improvement interventions.
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