Abstract
<h3>Introduction</h3> Pediatric rapid sequence intubation (RSI) is a critical skill. PICU and ED physicians report first attempt success (FAS) rates of 62-78% and first attempt success without desaturation (FASWD) rates of 58%. Here we report air medical pediatric RSI success rates using a novel training program [HeART]. <h3>Methods</h3> All pediatric RSI patients over a five-year period (2015-2019) from a large air medical company were included. FAS and FASWD were calculated for all patients and for specific age cohorts [0-2 years, 3-8 years, 9-17 years]. Meta-analysis was performed to compare to reported physician success rates. <h3>Results</h3> A total of 1,116 pediatric RSI patients were included [0-2: n=247, 3-8: n=250, 9-17: n=619]. Intubation success rates were similar across age groups. Both FAS and FASWD rates were significantly higher than reported for PICU and ED physicians (FAS = 91% vs 61%, p<0.001; FASWD = 63% vs 58%, p=0.034). <h3>Conclusion</h3> We observed high FAS and FASWD rates for air medical pediatric RSI using a novel airway curriculum. Although RSI success rates were higher than reported for PICU and ED physicians, the comparisons may reflect undetected differences in various airway difficulty factors.
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