title: Intubation training in emergency medicine: a review of one trainee's first 100 procedures.
abstract: A review was performed looking at the first 100 intubation procedures performed or solely supervised by one emergency medicine trainee. Over the 5 year period during which the procedures were performed the author performed 93 and supervised 7 procedures. There were 90 rapid sequence intubation procedures and 10 intubations without drugs. The intubation procedure was successful by the author on 94 occasions, 91 of these on the first attempt and 3 on a second attempt. There were 8 complications. These comprised 3 oesophageal intubations and 5 failures to achieve an adequate view. This study suggests that as a trainee gains experience in performing intubation procedures, the nature of the complications arising changes. Initial complications involved misplacement of the tube, whereas later complications involved not obtaining an adequate view, latterly in increasingly difficult airways. Truly difficult airways are not common and may not be experienced until much later in a trainee's career.
authors: Emergency Department, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, UK, EH16 4SA. mattreed1@hotmail.com
authors: Matthew J
authors: MJ
authors: Reed
mesh_terms: D002983:Clinical Competence; D004635:Emergency Medicine / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D007442:Intubation, Intratracheal / Q000592:standards*; D016896:Treatment Outcome
references: Anesth Analg. 2002 Aug;95(2):411-6, table of contents
references: 12145063
references: J Emerg Med. 2002 Aug;23(2):131-40
references: 12359280
references: Anesthesiology. 2003 Jan;98(1):23-7
references: 12502974
references: Anaesthesia. 1984 Nov;39(11):1105-11
references: 6507827
references: Ann Emerg Med. 2006 Jun;47(6):532-41
references: 16713780
references: Anaesthesia. 1998 Nov;53(11):1041-4
references: 10023271
references: Anesth Analg. 2004 Dec;99(6):1774-9, table of contents
references: 15562070
references: Resuscitation. 2005 Jan;64(1):87-91
references: 15629560
references: Ann Emerg Med. 2005 Oct;46(4):328-36
references: 16187466
references: Anesth Analg. 1998 Mar;86(3):635-9
references: 9495429