Airway Intervention Readiness Survey for Australia and New Zealand - reporting technical, personnel, equipment and system approaches to airway care across the Australian and New Zealand Emergency Departments
Safe, effective airway management in critically unwell or severely injured patients is one of the cornerstones of successful resuscitation practice. Airway management is required frequently in Emergency Departments with anecdotal evidence suggesting a wide variation in practice in New Zealand.
Our aim is to define indications for airway management, personnel responsible for airway management, the equipment and methods utilized, and quality assurance measures surrounding airway interventions in Australian and New Zealand Emergency Departments.
We wish to conduct an electronically administered survey of specialist Emergency Physicians and resuscitation nurses working in Australasian College for Emergency Medicine (ACEM) accredited Emergency Departments (ED’s) across New Zealand. Unaccredited Emergency Departments will be excluded from the survey. For each surveyed department, we will contact the local Director of Emergency Medicine Training (DEMT) who will completed the survey, or nominate suitable individuals for participation in the survey.
We will collect descriptive data characterising surveyed departments including average annual attendances, number of full time specialists employed, and level of accreditation. We will receive this information through consulting representatives at each department, and through the Australasian College for Emergency Medicine.
We aim to record the most frequent clinical indications for airway interventions, most frequently utilized medications, and the frequency with which various equipment or techniques are employed in routine airway management. We also aim to record the background and seniority of persons performing airway procedures.
Demographic data will be recorded in tabulated format using Microsoft Excel. The survey will be administered through Survey Monkey which is an online, cloud based survey development and analysis software tool. The data will be analysed using Survey Monkey’s provided analytical tools, as well as independent analysis using IBM SPSS software.
Since this study is descriptive, non-interventional and does not record any individual patient data, we do not believe there will be any significant ethical barriers to conducting this survey. Each respondent will be blinded to the responses of other respondents. In reporting the results, we will de-identify responses from each department.
We aim to have completed the survey by September 2015. By October 2015, we aim to have submitted an application for presentation at the 2016 International Conference for Emergency Medicine (ICEM) in Cape Town, South Africa in April 2016. If accepted, our results and analysis will be presented in poster format at this conference. We also aim to secure publication in an international journal of Emergency Medicine.