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June 7, 2000

Out-of-Hospital Endotracheal Intubation of Children—Reply

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Contributing EditorIndividualAuthor

JAMA. 2000;283(21):2790-2792. doi:10.1001/jama.283.21.2787

In Reply: Although Dr Eckstein questions the adequacy of airway management training, we found no difference in the rate of "good chest rise" between BVM and ETI groups. Furthermore, pulse oximetry showed a median oxygen saturation of 97% to 98% in both BVM and ETI groups, which did not change during long transports. Eckstein also notes that California paramedics do not receive mandatory periodic skills testing. However, paramedics in this study were experienced in adult intubation, had substantial pediatric experience in a busy urban emergency medical services (EMS) system, were required to have 48 hours of continuing education training every 2 years, and were provided with pediatric airway continuing education opportunities throughout the study.1,2

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