Who’s on Airway? Evaluating Pediatric Trainee Tracheal Intubation Frequency and Outcomes in Academic Settings Using NEAR4PEM Data

Highlight

• Emergency medicine residents and pediatric emergency medicine (PEM) fellows demonstrate similar first-attempt tracheal intubation success rates (~75%) in pediatric emergency settings.
• Pediatric residents exhibit significantly lower first-attempt success (58%) and higher adverse airway outcomes compared to their emergency medicine counterparts.
• After adjusted analyses, no significant differences were observed in adverse airway event rates between emergency medicine residents and PEM fellows.
• Findings underscore the importance of targeted airway training for pediatric residents to improve intubation outcomes and patient safety.

Study Background