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In this Israeli study comparing mortality for trauma patients intubated in the emergency department vs the operating room, in hospital mortality was higher for the ED group before controlling for injury severity score and shock. After controlling for injury severity and shock, there was no difference in In hospital mortality. Coupled with previous research, if intubation can wait until after resuscitation and in the OR, that is ideal. And sometimes it just has to happen in the ED and we should be prepared for rapid resuscitation.
References
Talmy T, Radomislensky I, Brzezinski Sinai I, Shaylor R, Katorza E, Gendler S; Israel Trauma Group Collaborators. Intubation Setting and Mortality in Trauma Patients Undergoing Hemorrhage Control Surgery: A Propensity Score-Matched Analysis. Anesth Analg. 2025 May 16. doi: 10.1213/ANE.0000000000007542. Epub ahead of print. PMID: 40378073.