POPULATION OF INTEREST

1. All patients who received ETT/cricothyroidotomy/supraglottic airway/NPA
2. All patients with compromised airway or (initial GCS < 8)

Intent (Expected Outcomes)

1. All injured patients who present with obtundation (GCS<8), apnea, respiratory distress or insufficiency, airway obstruction, or impending airway loss will have a secure and definitive airway established expeditiously upon arrival to a Role 2 or Role 3 if not done prehospital.
2. All patients in the population of interest will have no signs of hypoxia. Patients with a definitive airway (endotracheal tube, cricothyroidotomy, tracheostomy) have ETCO2 monitoring to confirm airway placement.

Performance/Adherence Metrics

1. Patients who had a secure and definitive airway (endotracheal tube, cricothyroidotomy, tracheostomy) established or verified, or documentation of appropriate intervention upon arrival to a Role 2 or Role 3 if not done prehospital.
2. SpO2 is maintained ≥ 90%. Patients who had definitive airway (endotracheal tube, cricothyroidotomy, tracheostomy) with ETCO2 documented to confirm placement.

DATA SOURCES

- Patient Record
- Department of Defense Trauma Registry (DoDTR)

System Reporting & Frequency

The above constitutes the minimum criteria for PI monitoring of this CPG. System reporting will be performed annually; additional PI monitoring and system reporting may be performed as needed.

The system review and data analysis will be performed by the JTS Chief , and the JTS PI Branch.

Responsibilities

It is the trauma team leader’s responsibility to ensure familiarity, appropriate compliance and PI monitoring at the local level with this CPG.