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Peter Glaeser, MD

JAMA. 2000;283:797-798.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this issue of THE JOURNAL, Gausche and colleagues¹ report survival and neurological outcomes for pediatric patients treated out of hospital with bag-valve-mask ventilation (BVM) compared with patients treated with BVM followed by endotracheal intubation (ETI). The authors found no difference in the outcomes of the 2 groups and identified significant complications in patients receiving ETI. These findings challenge national consensus that ETI should be in the scope of practice of the emergency medical services (EMS) provider.

The peer-reviewed publication of this study has been eagerly anticipated by the EMS community. Its results have been published in abstract form,² debated at national emergency medicine forums,³ and included for consideration at a recent consensus conference on prehospital care.⁴

The study is noteworthy for a number of reasons. First, the magnitude of effort invested in this study is herculean. The investigators obtained institutional review board approval from 115 separate . . . [Full Text of this Article]

Author Affiliation: Pediatric Emergency Medicine, Division of Pediatrics, University of Alabama at Birmingham.

RELATED ARTICLE

Effect of Out-of-Hospital Pediatric Endotracheal Intubation on Survival and Neurological Outcome: A Controlled Clinical Trial
Marianne Gausche, Roger J. Lewis, Samuel J. Stratton, Bruce E. Haynes, Carol S. Gunter, Suzanne M. Goodrich, Pamela D. Poore, Maureen D. McCollough, Deborah P. Henderson, Franklin D. Pratt, and James S. Seidel
JAMA. 2000;283(6):783-790.
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