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September 18, 2025JAMA Network OpenOpen Access

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

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Authors

MNMichelle NassalBYBetty YangJHJane Hall

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Overview

Cross-sectional analysis reveals varied EMS advanced airway practices impact outcomes in OHCA patients, highlighting potential improvements.

Key Points

  • The study observed a decline in return of spontaneous circulation across all advanced airway practice patterns.
  • Patients experiencing out-of-hospital cardiac arrest showed a 30.8% ROSC rate, with variations based on airway interventions used.
  • Transitioning from endotracheal intubation to supraglottic airway was linked to improved outcomes in lower-performing EMS agencies.
  • Overall, SGA use increased among EMS agencies from 65 in 2016 to 113 in 2022, suggesting a shift in practice patterns.

Cite This Study

Nassal et al. (2025) studied this question.

synapsesocial.com/papers/68d461c231b076d99fa60f1dhttps://doi.org/10.1001/jamanetworkopen.2025.32334
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