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 Password Cancel Submit