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October 28, 1983

Endotracheal Intubation in the Prehospital Phase of Emergency Medical Care

Author Affiliations

From the Boston Emergency Medical Center (Dr Jacobs and Mss Bennett and Madigan); the Department of Surgery, Boston City Hospital (Drs Jacobs and Berrizbeitia); and the Division of Surgery, Boston University School of Medicine (Drs Jacobs and Berrizbeitia).

JAMA. 1983;250(16):2175-2177. doi:10.1001/jama.1983.03340160061033

One hundred seventy-eight endotracheal intubations by paramedics were reviewed prospectively during a nine-month period; 149 patients (83.7%) had medical conditions, and 29 (16.2%) had trauma. The endotracheal tube was successfully placed in 172 (96.6%); in four patients (2.2%), attempts were unsuccessful, and in two patients (1.1%), the attempt was aborted. There were no incidences of reported complications. We conclude that endotracheal intubation can be accomplished successfully outside the hospital by paramedical personnel. Comprehensive training and continuous medical control of paramedics' activities seem to be essential requirements for its success.

(JAMA 1983;250:2175-2177)