• Young Soon Cho, Junho Cho, Hyun Soo Chung, and Korean Emergency Airway Registry (KEAMR) Investigators.
• Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
• J Emerg Med. 2015 Jan 1;48(1):1-9.

BackgroundThe investigators developed a Web-based online registration system to identify the current status of trauma airway management.ObjectivesThe purpose of the study was to identify first-pass success (FPS) rate of the intubation methods and devices that are currently used, as well as the factors that affect FPS in trauma patients.MethodsThis study was designed as a prospective, observational multi-center study. We obtained clinical data of intubated trauma patients in 13 academic emergency departments in Korea. After performing an intubation, each patient's data were entered into a Web-based registry. Logistic regression analyses were conducted to identify the factors that affect FPS.ResultsThe FPS rate was 80.6% in all trauma patients. The curved-blade laryngoscope was the most commonly used instrument, and was applied to 1395 patients (76.2%) during first attempt. Video laryngoscopy was applied to 341 patients (18.6%). In the multivariate logistic regression analysis, factors that affected FPS in difficult airway trauma patients were emergency physicians, senior physicians, and video laryngoscopy (odds ratio 2.42, 95% confidence interval 1.04-5.65; 1.80, 1.16-2.79; and 2.16, 1.39-3.33, respectively).ConclusionsEmergency physicians in Korea are prepared for trauma patient airway management. The backup by experienced senior physicians, and preparation and training for video laryngoscope could assist FPS for trauma patients.Copyright © 2015 Elsevier Inc. All rights reserved.

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