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Association of blood pressure changes with survival after paramedic rapid sequence intubation in out‐of‐hospital patients with stroke
Author(s) -
Fouche Pieter F,
Jennings Paul A,
Boyle Malcolm,
Bernard Stephen,
Smith Karen
Publication year - 2021
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.13594
Subject(s) - medicine , blood pressure , stroke (engine) , intubation , subarachnoid hemorrhage , anesthesia , logistic regression , cardiology , emergency medicine , mechanical engineering , engineering
RSI is used to secure the airway of some patients with stroke. Recent observational studies suggest that RSI is associated with poorer survival, and that decreases in systolic BP following RSI could be a cause of worse survival. The present study was a retrospective analysis of all stroke patients that received paramedic RSI attended by Ambulance Victoria, Australia. Paramedic RSI‐related decrease in systolic BP is associated with improved survival in those with intra‐cerebral or subarachnoid haemorrhage but not ischaemic stroke.