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To determine the association between prehospital airway management and outcomes in trauma patients, researchers performed a secondary analysis of prospectively collected data from the Resuscitation Outcomes Consortium Hypertonic Saline Trial. The analysis included 1116 patients with severe closed blunt head injury (Glasgow Coma Scale [GCS] score ≤8) and 528 patients with hemorrhagic shock (systolic blood pressure either ≤70 mm Hg or 71–90 mm Hg with a heart rate ≥108 beats per minute), who received advanced airway management out of the hospital or in the emergency department (ED).
Most patients received out-of-hospital airway management; these patients had higher injury severity scores and were more often transported by air than patients who…