22. Bag-Valve Mask versus Endotracheal Intubation in Out-of-Hospital Cardiac Arrest on Return of Spontaneous Circulation: A National Database Study

Bag-Valve Mask versus Endotracheal Intubation in Out-of-Hospital Cardiac Arrest on Return of Spontaneous Circulation: A National Database Study

Download here 

Average read time: 15 to 20 minutes

Short Summary of the Article:

The article, “Bag-Valve Mask versus Endotracheal Intubation in Out-of-Hospital Cardiac Arrest on Return of Spontaneous Circulation (ROSC): A National Database Study”, compares the effectiveness of bag-valve mask (BVM) and endotracheal intubation (ETI) in out-of-hospital cardiac arrest (OHCA) cases. The study involved 1,070 patients and examined which method led to higher rates of ROSC. The findings show that BVM had a slightly higher ROSC rate (19.63%) compared to ETI (15.56%), though the difference was not statistically significant. The study concludes that both methods are comparable, but patients in the BVM group tended to receive faster treatment and had less severe conditions.

Learning Outcomes 

Upon completion of this activity, you should have an understanding of:

1. The comparative effectiveness of BVM and ETI in achieving ROSC: Both methods show similar outcomes in prehospital cardiac arrest care.
2. Factors influencing the preference for ETI in more severe cases: ETI is more commonly used in patients requiring intravenous access, adrenaline administration, and defibrillation, which indicates a more severe clinical status.
3. The importance of response time and prehospital interventions: Faster response times and early interventions, such as BVM, are associated with better ROSC outcomes.