BEST EVIDENCE TOPIC REPORT
Prehospital endotracheal intubation in adult major trauma patients with head injury
Department of Emergency Medicine, Manhester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; Kevin.mackway-jones{at}man.ac.uk
Report by Ayan Sen, Senior House Officer, Critical Care
Search checked by Raj Nichani, Specialist Registrar, Anaesthesia and Critical Care Manchester Royal Infirmary, Manchester, UK
A short cut review was carried out to establish whether prehospital intubation was of benefit to patients with moderate to severe head injury. 4630 papers were found using the reported searches, of which 9 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. It is concluded that prehospital intubation is associated with increased mortality in these patients.
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eLetters:
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- Association does not prove causality
- Brian C Doyle
- EMJ Online, 13 Dec 2005 [Full text]
- Best Bets. A call for scrutiny.
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- Prehospital Intubation – Delving deeper into the evidence
- Robert J Dawes
- EMJ Online, 21 Dec 2005 [Full text]
- Please don't shoot the messengers!
- Andrew M. Mason
- EMJ Online, 16 Jan 2006 [Full text]
- Two wrongs don’t make a right
- Roderick Mackenzie
- EMJ Online, 3 Feb 2006 [Full text]
- Author's reply
- Ayan Sen, et al.
- EMJ Online, 7 Jun 2006 [Full text]
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