Advanced Airway Device Use Order During Out-of-Hospital Cardiac Arrest

What are national practice patterns in the order of advanced airway device use during adult out-of-hospital cardiac arrest (OHCA) among emergency medical service (EMS) activations?In this cross-sectional study of 2 365 224 US EMS activations from 2018 to 2023, adult patients more commonly received endotracheal intubation (ETI) than supraglottic airway (SGA) as the initial advanced airway device. Most patients underwent single device placement, with SGA having higher initial and final device success rates.In this study, most patients with OHCA received a successful airway with only a single advanced airway intervention, with SGAs having higher initial and final device success rates than ETI.

Corresponding Author: Christopher B. Gage, MHS, NRP, National Registry of Emergency Medical Technicians, 6610 Busch Blvd, Columbus, OH 43229 (cgage@nremt.org).

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