Population of interest

- All patients who received ETT/cricothyroidotomy/supraglottic airway/NPA
- All patients with compromised airway (initial GCS < 8 or AIS head and neck ≥ 3 or AIS face ≥ 3, arrival/transport or initial ED SpO2 < 90%, arrival/transport or initial ED ETCO2 > 50).

Intent (Expected Outcomes)

- 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.
- SpO2 is maintained between ≥ 90% and 96%. SpO2 >96% is not necessary.

Performance/Adherence Measures

1. Number and percentage of patients in the population of interest who had a secure and definitive airway (endotracheal tube, cricothyroidotomy, tracheostomy) established or verified on arrival to Role 2 or 3, or documentation of appropriate intervention.
2. Number and percentage of patients in the population of interest with initial ED SpO2 < 90%, < 80%, <70%, <60%.
3. Number and percentage of patients who had definitive airway (endotracheal tube, cricothyroidotomy, tracheostomy) with ETCO2 documented at the same role of care where the procedure is done.

Data Source

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