Prehospital Emergency Airway Research. (PhEAR)

Centro de Emergencias Sanitarias 061 Andalucía

Status: Active, not recruiting

Conditions: Airway Management; Emergency

Study type: Observational

Funder types: Other

Identifiers

NCT07289139

2025_CES_061_REG_PHEAR_V1

Details and patient eligibility

About

The creation of an airway registry will allow an improvement in the quality of care, the safety of critically ill patients in pre-hospital situations, and a reduction in morbidity and mortality related to airway management.

Full description

In the care of critically ill patients in prehospital emergency settings, advanced airway management (AAM) is essential to maintain airway patency and ensure adequate oxygenation and ventilation. In Andalusia, prehospital emergency teams are composed of a physician, a nurse, and an emergency medical technician (EMT), and they operate both ground units (advanced life support ambulances) and air units (medical helicopters).

AAM encompasses a wide range of processes, techniques, and complex decision-making interventions that can be key to favorable patient outcomes. However, if not performed correctly, these procedures can also lead to adverse events, poor prognosis, or preventable mortality.

The increasing complexity and technological sophistication of healthcare require health systems to improve and adapt in order to deliver safe, high-quality care, where continuity and an integrated vision of care are essential.

This comprehensive approach is made possible through the analysis of incidents recorded in registries, which play a key role in identifying failures in clinical practice and implementing new strategies to address them.

Enrollment: 4,300 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients attended by the 061 Emergency Teams of Andalusia, with an "Assistance" type of request, who underwent any of the following techniques: manual ventilation, orotracheal intubation, supraglottic device insertion, or cricothyroidotomy

Exclusion criteria

• interhospital transfers,
• patients who recieve this techniques before de emergency team arrives