Prehospital Rapid Sequence Intubation Improves Functional Outcome for Patients with Severe TBI
ncbi.nlm.nih.gov
In adults with severe traumatic brain injury (TBI), prehospital rapid sequence intubation by paramedics increases the rate of favorable neurologic outcome at 6 months compared with intubation in the hospital.
A total of 312 patients with severe TBI were randomly assigned to paramedic rapid sequence intubation or hospital intubation.
The success rate for paramedic intubation was 97%.
In a prospective, randomized, controlled trial, we assigned adults with severe TBI in an urban setting to either prehospital rapid sequence intubation by paramedics or transport to a hospital emergency department for intubation by physicians.