Out-of-hospital endotracheal intubation: where are we?


:While remaining prominent in paramedic care and beneficial to some patients, out-of-hospital endotracheal intubation has not clearly improved survival or reduced morbidity from critical illness or injury when studied more broadly. Recent studies identify equivocal or unfavorable clinical effects, adverse events and errors, interaction with other important resuscitation interventions, and challenges in providing and maintaining procedural skill. We provide an overview of current data evaluating the overall effectiveness, safety, and feasibility of paramedic out-of-hospital endotracheal intubation. These studies highlight our limited understanding of out-of-hospital endotracheal intubation and the need for new strategies to improve airway support in the out-of-hospital setting.


Ann Emerg Med


Wang HE,Yealy DM




Has Abstract


2006-06-01 00:00:00














  • Nitrous oxide levels in the emergency department.

    abstract::Levels of nitrous oxide were monitored in the emergency department during the use of a Nitronox machine after four and eight minutes of breathing gas. Levels near the user's head were found to be 800 to 1,200 parts per million. Levels at the center of the room peaked at 300 ppm after eight minutes of use, and spot che...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Dula DJ,Skiendzielewski JJ,Royko M

    更新日期:1981-11-01 00:00:00

  • Pediatric head injury: the critical role of the emergency physician.

    abstract::Neurologic injury is a significant source of morbidity and mortality in pediatric patients. In order to clarify the factors influencing outcome in pediatric patients with severe head injury, we studied 200 consecutive patients with Glasgow Coma Scale (GCS) scores of 8 or less. The following data were collected: age, G...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Mayer TA,Walker ML

    更新日期:1985-12-01 00:00:00

  • Blood flow with ventilation alone in a child with cardiac arrest.

    abstract::Recent investigations suggest that increased intrathoracic pressure causing compression of the heart and great vessels in the thorax plays an important role in providing blood flow during cardiopulmonary resuscitation. This communication reports the case of a four-year-old asphyxiated girl found to have a small amount...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Forney J,Ornato JP

    更新日期:1980-12-01 00:00:00

  • Fatal ascending tonic-clonic seizure syndrome.

    abstract::A fatal case of ascending tonic-clonic seizure (ATCS) syndrome resulted from the inadvertent, unrecognized use of a hyperosmolar ionic contrast agent during myelography. The patient presented with lower-extremity myoclonic jerking, agitation, hyperthermia, rhabdomyolysis, and disseminated intravascular coagulation. Em...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Dunford J

    更新日期:1998-11-01 00:00:00

  • Epidemiology and practice of emergency medicine in a developing country.

    abstract:STUDY OBJECTIVE:To analyze the emergency medicine system in a developing country and identify areas of need and potential collaboration. DESIGN:Convenience sample surveys of all emergency visits over a 2-week period, hospital admission and health department statistics, and interviews with government officials, health ...

    journal_title:Annals of emergency medicine

    pub_type: 评论,杂志文章


    authors: Kirsch TD,Hilwig WK,Holder Y,Smith GS,Pooran S,Edwards R

    更新日期:1995-09-01 00:00:00

  • Methemoglobinemia.

    abstract::Methemoglobinemia must be considered in the differential diagnosis of the cyanotic patient. Methemoglobin cannot carry oxygen or carbon dioxide. Methemoglobinemia can result from exposure to a wide variety of chemicals, including many commonly prescribed drugs, usually in an overdose situation. Most cases require only...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Curry S

    更新日期:1982-04-01 00:00:00

  • Comparison of domestic violence screening methods: a pilot study.

    abstract:STUDY OBJECTIVE:Previous studies have indicated a number of barriers to screening for domestic violence (DV) in an emergency department setting. These barriers result in inconsistencies which determine who is screened as well as the content and quality of the information obtained, and if uncontrolled they are likely to...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Furbee PM,Sikora R,Williams JM,Derk SJ

    更新日期:1998-04-01 00:00:00

  • Comparative treatment of alpha-amanitin poisoning with N-acetylcysteine, benzylpenicillin, cimetidine, thioctic acid, and silybin in a murine model.

    abstract:STUDY OBJECTIVE:The foraging of wild mushrooms can be complicated by toxicity from several mushroom types. Amatoxin, a peptide contained in several mushroom species, accounts for the majority of severe mushroom poisonings by binding to RNA polymerase II irreversibly, leading to severe hepatonecrosis. There is no effect...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Tong TC,Hernandez M,Richardson WH 3rd,Betten DP,Favata M,Riffenburgh RH,Clark RF,Tanen DA

    更新日期:2007-09-01 00:00:00

  • Sublingual hyoscyamine sulfate in combination with ketorolac tromethamine for ureteral colic: a randomized, double-blind, controlled trial.

    abstract:STUDY OBJECTIVE:We evaluate the safety and efficacy of a single dose of hyoscyamine sulfate in combination with ketorolac tromethamine for the reduction of pain in emergency department patients with ureteral colic. METHODS:We conducted a prospective, randomized, double-blind study at 2 EDs with residency programs in e...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Jones JB,Giles BK,Brizendine EJ,Cordell WH

    更新日期:2001-02-01 00:00:00

  • Jujitsu kick to the abdomen: a case of blunt abdominal trauma resulting in hematochezia and transient ischemic colitis.

    abstract::Blunt abdominal trauma is a common presentation to the emergency department. Ischemic colitis is a rare complication of this and its possible sequelae are important for an emergency physician to recognize. A 21-year-old man presented to the emergency department with abdominal pain and hourly episodes of bright red blo...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Rosenberg H,Beck J

    更新日期:2011-08-01 00:00:00

  • Cervical cancer screening in an urban emergency department.

    abstract:STUDY OBJECTIVES:To determine the feasibility of Pap screening and follow-up of urban emergency department patients and the prevalence of cervical dysplasia and carcinoma in this group. DESIGN:During a four-month period, Pap smears were added to pelvic examinations performed in the ED. Follow-up, including repeat Pap ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Hogness CG,Engelstad LP,Linck LM,Schorr KA

    更新日期:1992-08-01 00:00:00

  • Bimanual laryngoscopy: a videographic study of external laryngeal manipulation by novice intubators.

    abstract:STUDY OBJECTIVE:We perform a videographic analysis of external laryngeal manipulation (ELM) by novice intubators using a direct laryngoscopic imaging system and a validated means of assessing laryngeal view (percentage of glottic opening [POGO] score). METHODS:Nine first-year emergency medicine residents performed a t...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Levitan RM,Mickler T,Hollander JE

    更新日期:2002-07-01 00:00:00

  • Prospective identification and triage of nonemergency patients out of an emergency department: a 5-year study.

    abstract:STUDY OBJECTIVE:To determine whether nonemergency patients can be prospectively identified by triage nurses and safely triaged out of the emergency department without treatment. METHODS:All adult patients (16 years or older) who presented to a university ED were provided an evaluation by a triage nurse. For a patient'...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Derlet RW,Kinser D,Ray L,Hamilton B,McKenzie J

    更新日期:1995-02-01 00:00:00

  • The critically ill child in the pediatric emergency department.

    abstract::A retrospective study of the charts of all critically ill patients visiting our pediatric emergency department over an 18-month period was conducted to determine age, diagnosis, time of presentation to the pediatric ED, Physiologic Stability Index (PSI) and Therapeutic Intervention Scoring System (TISS) score, and eve...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Kissoon N,Walia MS

    更新日期:1989-01-01 00:00:00

  • A decision rule for identifying children at low risk for brain injuries after blunt head trauma.

    abstract:STUDY OBJECTIVE:Computed tomography (CT) is frequently used in evaluating children with blunt head trauma. Routine use of CT, however, has disadvantages. Therefore, we sought to derive a decision rule for identifying children at low risk for traumatic brain injuries. METHODS:We enrolled children with blunt head trauma...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Palchak MJ,Holmes JF,Vance CW,Gelber RE,Schauer BA,Harrison MJ,Willis-Shore J,Wootton-Gorges SL,Derlet RW,Kuppermann N

    更新日期:2003-10-01 00:00:00

  • Vertebrobasilar distribution stroke mimicking transtentorial herniation.

    abstract::Strokes in the vertebrobasilar arterial distribution may result in a variety of physical findings and can be challenging to diagnose. We report a case of a 60-year-old woman with infarction of the left midbrain, right pons, and bilateral thalami with physical findings resembling transtentorial herniation. ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Lipinski CA,Swanson ER

    更新日期:1998-05-01 00:00:00

  • Use of End Tidal Oxygen Monitoring to Assess Preoxygenation During Rapid Sequence Intubation in the Emergency Department.

    abstract:STUDY OBJECTIVE:Preoxygenation is important to prevent oxygen desaturation during emergency airway management. The purpose of this study is to describe the use of end tidal oxygen (eto2) during rapid sequence intubation in the emergency department. METHODS:This study was carried out in 2 academic centers in Sydney, Au...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究


    authors: Caputo ND,Oliver M,West JR,Hackett R,Sakles JC

    更新日期:2019-09-01 00:00:00

  • New developments in the treatment of HIV disease: An overview.

    abstract::The management of HIV disease has evolved into a complicated and sophisticated subspecialty in recent years. Fourteen drugs, in various combinations, are being used in increasingly complex treatment regimens. The side effects of some of these drugs, as well as certain drug-drug interactions may mimic signs and symptom...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,评审


    authors: Hovanessian HC

    更新日期:1999-05-01 00:00:00

  • Comparison of electronic pharmacy prescription records with manually collected medication histories in an emergency department.

    abstract:STUDY OBJECTIVE:Medication history is an essential part of patient assessment in emergency care. Patient-reported medication history can be incomplete. We study whether an electronic pharmacy-sourced prescription record can supplement the patient-reported history. METHODS:In a community hospital, we compared the patie...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Fung KW,Kayaalp M,Callaghan F,McDonald CJ

    更新日期:2013-09-01 00:00:00

  • Acting without asking: an ethical analysis of the Food and Drug Administration waiver of informed consent for emergency research.

    abstract::This article summarizes the current requirements for a waiver of informed consent for emergency research and analyzes ethical issues that are involved. Researchers who intend to apply for a waiver of informed consent for emergency research must understand that they are asking for the major protector of human subjects,...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Adams JG,Wegener J

    更新日期:1999-02-01 00:00:00

  • Pediatric bacterial meningitis: is prior antibiotic therapy associated with an altered clinical presentation?

    abstract:STUDY HYPOTHESIS:The clinical features of children treated with oral antibiotics before the diagnosis of bacterial meningitis differ from those who receive no antibiotics. DESIGN:Retrospective case series. SETTING:University medical center. PARTICIPANTS:Two hundred fifty-eight children 24 months old or younger with ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Rothrock SG,Green SM,Wren J,Letai D,Daniel-Underwood L,Pillar E

    更新日期:1992-02-01 00:00:00

  • Predicting the severity of cocaine-associated rhabdomyolysis.

    abstract:STUDY OBJECTIVES:The syndrome of rhabdomyolysis associated with cocaine use has been recently described, but the incidence, severity, risk factors, and complications are unknown. This study sought to describe the spectrum of the syndrome and identify clinical features of patients at risk. DESIGN:Retrospective case ser...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Brody SL,Wrenn KD,Wilber MM,Slovis CM

    更新日期:1990-10-01 00:00:00

  • Efficacy and safety of out-of-hospital intravenous metoprolol administration in anterior ST-segment elevation acute myocardial infarction: insights from the METOCARD-CNIC trial.

    abstract:STUDY OBJECTIVE:We seek to examine the efficacy and safety of prereperfusion emergency medical services (EMS)-administered intravenous metoprolol in anterior ST-segment elevation myocardial infarction patients undergoing eventual primary angioplasty. METHODS:This is a prespecified subgroup analysis of the Effect of Me...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Mateos A,García-Lunar I,García-Ruiz JM,Pizarro G,Fernández-Jiménez R,Huertas P,García-Álvarez A,Fernández-Friera L,Bravo J,Flores-Arias J,Barreiro MV,Chayán-Zas L,Corral E,Fuster V,Sánchez-Brunete V,Ibáñez B,METOCARD-CNIC

    更新日期:2015-03-01 00:00:00

  • Interstitial pregnancy: a potential for misdiagnosis of ectopic pregnancy with emergency department ultrasonography.

    abstract::Interstitial pregnancy is a rare and dangerous form of ectopic pregnancy that can be mistaken for a normal intrauterine pregnancy on ultrasonography, leading to catastrophic results. Increasingly, emergency physicians are using ultrasonography to diagnose intrauterine pregnancy. Emergency physicians should be aware of...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: DeWitt C,Abbott J

    更新日期:2002-07-01 00:00:00

  • Association between prepayment systems and emergency medical services use among patients with acute chest discomfort syndrome. For the Rapid Early Action for Coronary Treatment (REACT) Study.

    abstract:STUDY OBJECTIVE:Cost concerns may inhibit emergency medical services (EMS) use. Novel tax-based and subscription prepayment programs indemnify patients against the cost of EMS treatment and transport. We determine whether the presence of (or enrollment in) prepayment plans increase EMS use among patients with acute che...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Siepmann DB,Mann NC,Hedges JR,Daya MR

    更新日期:2000-06-01 00:00:00

  • Improving Publication Quality and Quantity for Acute Care Authors From Low- and Middle-Income Settings.

    abstract:STUDY OBJECTIVE:Researchers from low- and middle-income countries have limited access to publishing and editing resources. This study describes a journal-initiated platform to improve publication quantity and quality in Sub-Saharan Africa emergency care research: Author Assist. METHODS:This is a descriptive report of ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Bruijns SR,Banner M,Jacquet GA

    更新日期:2017-04-01 00:00:00

  • Application of the trauma score in the prehospital setting.

    abstract::The Trauma Score (TS) is a physiologic measure of injury severity that correlates with patient outcome. Application of the TS has shown that it is useful for patient triage, for predicting patient outcome, and as a means of normalizing for case mix when comparing prehospital care and transport modalities. Our study ex...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Moreau M,Gainer PS,Champion H,Sacco WJ

    更新日期:1985-11-01 00:00:00

  • Accuracy of Emergency Department Clinical Findings for Diagnosis of Coronavirus Disease 2019.

    abstract:STUDY OBJECTIVE:We seek to describe the medical history and clinical findings of patients attending the emergency department (ED) with suspected coronavirus disease 2019 (COVID-19) and estimate the diagnostic accuracy of patients' characteristics for predicting COVID-19. METHODS:We prospectively enrolled all patients ...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Peyrony O,Marbeuf-Gueye C,Truong V,Giroud M,Rivière C,Khenissi K,Legay L,Simonetta M,Elezi A,Principe A,Taboulet P,Ogereau C,Tourdjman M,Ellouze S,Fontaine JP

    更新日期:2020-10-01 00:00:00

  • Breath alcohol analyzer mistakes methanol poisoning for alcohol intoxication.

    abstract::Breath alcohol analyzers are used to detect ethanol in motorists and others suspected of public intoxication. One concern is their ability to detect interfering substances that may falsely increase the ethanol reading. A 47-year-old-man was found in a public park, acting intoxicated. A breath analyzer test (Intoxilyze...

    journal_title:Annals of emergency medicine

    pub_type: 杂志文章


    authors: Caravati EM,Anderson KT

    更新日期:2010-02-01 00:00:00

  • High-dose hydrocortisone hemisuccinate in scorpion envenomation.

    abstract:STUDY OBJECTIVE:Scorpion envenomation is a common life-threatening hazard in tropical and subtropical countries. Standard treatment is not clearly defined. Many therapies, such as steroids, are prescribed without experimental justification. We sought to assess the efficacy of systematic administration of intravenous hy...

    journal_title:Annals of emergency medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Abroug F,Nouira S,Haguiga H,Elatrous S,Belghith M,Boujdaria R,Touzi N,Bouchoucha S

    更新日期:1997-07-01 00:00:00