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Airway Registry
Intubation initiated by Air or Ground?
Ground
Air
Can we determine from the record why patient required intubation?
Yes
No
Number of attempts by air provider
0
1
2
3
4
5
6
7
8
9
Number of attempts by ground provider
0
1
2
3
4
5
6
7
8
9
What was the primary airway choice?
Oral ETT
Nasal ETT
King Airway
Combitube
LMA
Was the Bougie used?
No
Yes
On what attempt was the Bougie used?
N/A
First
Second
Third
Fourth
Fifth
Other
Was RSI started by air or ground?
Ground
Air
Was paralytic used?
Yes
No
If yes, was paralytic given by ground prior to air arrival?
No
Yes
Was primary airway modality successful?
Yes
No
If NO, then what was final airway management?
N/A
BVM
Oral ETT
Nasal ETT
King Airway
Combitube
LMA
Surgical Airway
Was air service called specifically for airway assistance?
No
Yes
Did air assist ground in airway establishment? (air assist and ground established)
No
Yes
Total ground time in minutes (not to include extrication time)
GCS (pre-intubation)
3
4
5
6
7
8
9
10
11
12
13
14
15
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