The use of TRISS methodology to validate prehospital intubation by urban EMS providers

Heidi Frankel, Grace Rozycki, Howard Champion, J. Duncan Harviel, Robert Bass

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to determine the impact of field orotracheal intubation (OI) by urban emergency medical technician-paramedics (EMT-Ps) on outcome compared with trauma score and injury severity score (TRISS) expectations. The records of all trauma patients intubated by EMT-Ps or hospital personnel were abstracted for OI attempts/ successes, use of neuromuscular blockade (NMB), scene time, discharge neurological status, and hospital survival compared with TRISS. EMT-Ps attempted 43% of all incubations; 81% were successful versus 98% by hospital staff (P< .05). NMB was used by 76% of hospital incubations versus none by EMS (P < .05). Scene time was 10.3 ± 3.2 minutes versus 11.6 ± 2.1 for patients intubated by emergency medical services (EMS) and hospital staff (P< .05). Sixty percent of patients intubated by EMS versus 68% by hospital staff had good/moderate discharge neurological status. Survival for patients intubated by EMS versus hospital staff was 11% and 40%, respectively, compared with 2% and 45% expected by TRISS. Field OI by urban EMT-Ps has a favorable impact on survival with good neurological outcome (P < .05).

Original languageEnglish (US)
Pages (from-to)630-632
Number of pages3
JournalAmerican Journal of Emergency Medicine
Volume15
Issue number7
DOIs
StatePublished - Jan 1 1997
Externally publishedYes

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Injury Severity Score
Emergency Medical Services
Emergency Medical Technicians
Intubation
Allied Health Personnel
Wounds and Injuries
Neuromuscular Blockade
Survival
Hospital Personnel

Keywords

  • Emergency medical services
  • Endotracheal intubation
  • Scoring systems

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

The use of TRISS methodology to validate prehospital intubation by urban EMS providers. / Frankel, Heidi; Rozycki, Grace; Champion, Howard; Harviel, J. Duncan; Bass, Robert.

In: American Journal of Emergency Medicine, Vol. 15, No. 7, 01.01.1997, p. 630-632.

Research output: Contribution to journalArticle

Frankel, Heidi ; Rozycki, Grace ; Champion, Howard ; Harviel, J. Duncan ; Bass, Robert. / The use of TRISS methodology to validate prehospital intubation by urban EMS providers. In: American Journal of Emergency Medicine. 1997 ; Vol. 15, No. 7. pp. 630-632.
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