Advanced Airway Practice Patterns and Out-of-Hospital Cardiac Arrest Outcomes

Is there an association between advanced airway practice patterns and out-of-hospital cardiac arrest (OHCA) outcomes?In this cross-sectional study of 350 216 patients with OHCA treated by 254 emergency medical service (EMS) agencies, supraglottic airway (SGA) device use increased from 2016 through 2022. In EMS agencies with low survival rates before 2019, switching from endotracheal intubation to SGA device use was associated with improved outcomes.These findings suggest that SGA device use by EMS agencies with lower survival rates may be associated with improved outcomes in patients with OHCA.

Corresponding Author: Michelle M. J. Nassal, MD, PhD, Department of Emergency Medicine, The Ohio State University, 376 W 10th St, 760B Prior Hall, Columbus, OH 43210 (michelle.nassal@osumc.edu).

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