EMS World

DEC 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

Issue link: https://emsworld.epubxp.com/i/1052828

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Page 57 of 83

EMSWORLD.com | DECEMBER 2018 57 volunteered to be randomized into two groups: one group would use the i-gel as the default and initial air way on all cardiac arrests they worked, while the other would do the same with ETI. In this fashion each medic would presumably have more experience with the device they were using and maximize their skill with it. There were 1,523 paramedics includ- ed in the trial, and they treated 9,296 patients (4,886 with the i-gel and 4,410 with ETI). The primar y outcome was neu- rologically intact sur vival at 30 days as defined by a modified Rankin score of 0–3. This is the most meaningful out- come we can look at in cardiac arrest tri- als. There was no significant difference in meaningful sur vival between the two groups (6.4% with i-gel and 6.8% with ETI, adjusted difference -0.6%, 95% CI, [-1.6%]–0.4%). Intub ation succe s s s eem s to have been higher in this study, although FPS wasn't repor ted. Success rates for the first two attempts were 87.4% with i-gel and 79.0% with ETI. It isn't clear if the improved ETI performance accounts for the lack of difference in outcomes com- pared with the worse ETI outcomes in the PART trial. There were more patients in the i-gel Accredited Online EMSA Degrees Justin Arnone CSU Graduate Columbia Southern University offers completely online degrees for EMS professionals interested in taking the next step in their career. CSU's coursework covers relevant topics within the emergency medical services industry including community relations, EMS communications, risk management, public safety and more. ColumbiaSouthern.edu/EMSA » 877.347.6050 Located in Orange Beach, Alabama. Gainful employment information available at ColumbiaSouthern.edu/Disclosure. AIRWAYS-2 found no signifi cant di erence in survival between two post-OHCA groups.

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