Table 1 Characteristics of patients receiving airway management in the emergency department
Patient characteristic | All (n = 852) | NMB alone (n = 114) | RSI (n = 738) | P value |
|---|---|---|---|---|
Age, median (IQR), years | 63 (48–76) | 57 (39–72) | 64 (50–76) | 0.001 |
Age ≥18 years, n (%) | 829 (97) | 112 (98) | 717 (97) | 0.50 |
Female sex, n (%) | 327 (38) | 42 (37) | 285 (39) | 0.72 |
Body weight, mean (SD), kg | 60 (14) | 62 (13) | 59 (14) | 0.07 |
Primary indication, n (%)a | <0.0001 | |||
Medical encounters | 668 (78) | 96 (84) | 572 (78) | |
Altered mental status | 301 (35) | 78 (68) | 223 (30) | |
Respiratory failure | 241 (28) | 5 (4) | 236 (32) | |
Shock | 104 (12) | 12 (11) | 89 (12) | |
Airway obstruction | 9 (1) | 0 (0) | 10 (1) | |
Asthma | 6 (1) | 0 (0) | 6 (1) | |
Other medical | 7 (1) | 0 (0) | 7 (1) | |
Trauma encounter | 184 (22) | 18 (16) | 166 (22) | |
Head trauma | 74 (9) | 12 (11) | 62 (8) | |
Shock | 59 (7) | 5 (4) | 54 (7) | |
Multiple trauma | 8 (1) | 0 (0) | 8 (1) | |
Facial/neck trauma | 15 (2) | 1 (1) | 14 (2) | |
Burn/inhalation | 22 (3) | 0 (0) | 22 (3) | |
Other trauma | 6 (1) | 0 (0) | 6 (1) | |
Type of sedatives, n (%)a | ||||
Midazolam | 420 (49) | 0 (0) | 420 (57) | |
Diazepam | 100 (12) | 0 (0) | 100 (14) | |
Propofol | 98 (12) | 0 (0) | 98 (13) | |
Ketamine | 83 (10) | 0 (0) | 83 (11) | |
Opioid | 17 (2) | 0 (0) | 17 (2) | |
Others | 20 (2) | 0 (0) | 20 (3) | |
Type of NMB, n (%)a | ||||
Rocuronium | 601 (71) | 81 (71) | 520 (70) | |
Vecuronium | 180 (21) | 27 (24) | 153 (21) | |
Succinylcholine | 71 (8) | 6 (5) | 65 (9) | |
Specialty of first intubator, n (%)a | 0.016 | |||
Emergency physician | 192 (23) | 21 (18) | 171 (23) | |
Emergency medicine resident | 157 (18) | 24 (21) | 133 (18) | |
Transitional year residentb | 381 (45) | 62 (54) | 319 (43) | |
Other | 122 (14) | 7 (6) | 115 (16) | |