{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:59:31Z","timestamp":1790009971999,"version":"4.0.1"},"reference-count":36,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T00:00:00Z","timestamp":1627948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Pre\u2010hospital tracheal intubation in trauma patients has recently been questioned. However, not only the trauma and patient characteristics but also airway provider competence differ between systems making simplified statements difficult.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The study is a subgroup analysis of trauma patients included in the PHAST study. PHAST was a prospective, observational, multicentre study on pre\u2010hospital advanced airway management by anaesthesiologist and nurse anaesthetist manned pre\u2010hospital critical care teams in the Nordic countries May 2015\u2010November 2016. Endpoints include intubation success rate, complication rate (airway\u2010related complication according to Utstein Airway Template by Sollid et al), scene time (time from arrival of the critical care team to departure of the patient) and pre\u2010hospital mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The critical care teams intubated 385 trauma patients, of which 65 were in shock (SBP &lt;90\u00a0mm\u00a0Hg), during the study. Of the trauma patients, 93% suffered from blunt trauma, the mean GCS was 6 and 75% were intubated by an experienced provider who had performed &gt;2500 tracheal intubations. The pre\u2010hospital tracheal intubation overall success rate was 98.6% and the complication rate was 13.6%, with no difference between patients with or without shock. The mean scene time was significantly shorter in trauma patients with shock (21.4\u00a0min) compared to without shock (21.4 vs 25.1\u00a0min). Following pre\u2010hospital tracheal intubation, 97% of trauma patients without shock and 91% of the patients in shock with measurable blood pressure were alive upon arrival to the ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pre\u2010hospital tracheal intubation success and complication rates in trauma patients were comparable with in\u2010hospital rates in a system with very experienced airway providers. Whether the short scene times contributed to a low pre\u2010hospital mortality needs further investigation in future studies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.13946","type":"journal-article","created":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T14:55:20Z","timestamp":1624287320000},"page":"1329-1336","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Pre\u2010hospital emergency anaesthesia in trauma patients treated by anaesthesiologist and nurse anaesthetist staffed critical care teams"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5447-4576","authenticated-orcid":false,"given":"Bjarni","family":"\u00c1rnason","sequence":"first","affiliation":[{"name":"Department of Perioperative Medicine and Intensive Care Karolinska University Hospital Stockholm Sweden"},{"name":"Rapid Response Car Capio Stockholm 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