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Improving documentation in prehospital rapid sequence intubation: investigating the use of a dedicated airway registry form
  1. Roger Bloomer1,2,
  2. Brian J Burns1,
  3. Sandra Ware1
  1. 1Greater Sydney Area Helicopter Emergency Medical Service (GSA-HEMS), New South Wales, Australia
  2. 2Imperial School of Anaesthesia, London, UK
  1. Correspondence to Dr Roger Bloomer, Greater Sydney Area Helicopter Emergency Medical Service, Ambulance Service of NSW, 670 Drover Road, Bankstown Airport, Bankstown, Sydney, NSW 2200, Australia; rogerbloomer{at}


Objective The quality of medical documentation is integral to audit, clinical governance, education, medico-legal aspects and continuity of patient care. This study aims to investigate the introduction of a dedicated ‘Airway Registry Form’ (ARF) on the quality of documentation in prehospital rapid sequence intubation.

Methods A retrospective review and comparison of 96 cases predating the introduction of the ARF and 90 cases immediately following its introduction were performed.

Results The introduction of the ARF yielded significant improvement in the recording of selected data points: difficult airway indicators (p<0.0001), Cormack–Lehane grade of laryngoscopy at first attempt (p<0.0001), documentation of confirmation of tracheal intubation with end-tidal carbon dioxide monitoring (p=0.015) and recording of intubator's details (p<0.0001).

Conclusions This study validates the use of a dedicated ARF for the improvement of documentation and data collection related to prehospital rapid sequence intubation when compared with post-event extraction of data from a generic case-record.

  • Prehospital emergency care
  • rapid sequence intubation
  • documentation
  • anaesthesia
  • trauma
  • prehospital care
  • doctors in PHC
  • management
  • quality assurance
  • critical care transport
  • helicopter retrieval

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  • Competing interests None.

  • Ethics approval Ethics approval was provided by Sydney Local Health District (SLHD) Ethics Review Committee (RPAH Zone), Sydney. Australia.

  • Provenance and peer review Not commissioned; externally peer reviewed.