ED Intubation Registry
The Emergency Department Intubation Registry (EDIR) is a collaboration between the Edinburgh Royal Infirmary Emergency Department and Critical Care Directorate to collect data on all patients that undergo intubation within the Emergency Department. Running since 1999 the EDIR is one of the largest registries of its type in the world. There is currently data from 4,000 patients on this database.
The registry is an important part of the Continuous Quality Improvement programme within the Emergency Department. It facilitates analysis of near-misses and critical incidents and enables improvements to be made to our protocols.
The data collected through this initiative has allowed us to analyse and publish changing trends and practices during Emergency Intubations; from the use of different induction drugs and paralytic agents, first attempt success rate, laryngoscopic views, complications as well the impact of MMC and ACCS on performance.
Below please find links to a small selection of the publications related to this project;
- Laryngoscopic view obtained during Rapid Sequence Intubation (RSI) in the Emergency Department
Oglesby AJ, Graham CA, McKeown DW, Beard D
Emergency Medicine Journal 2002;19 Suppl I: A69
- Emergency Intubation by Emergency Physicians and Anaesthestists in an urban teaching hospital
Oglesby AJ, Adamson DC, Beard D, McKeown DW, Robertson CE
Emergency Medicine Journal 2002;19 Suppl I: A44
- Rapid sequence intubation in Scottish Urban Emergency Departments
Graham CA, Beard D, Oglesby AJ, Beale JP, Thakore SB, Brittliff J, Johnston MA, McKeown DW, Parke TRJ
Emergency Medicine Journal 2003; 20(1):3-5
- Should Etomidate be the induction agent of choice for Rapid Sequence Intubation in the Emergency Department?
Oglesby AJ
Emergency Medical Journal 2004; 21(6):655-659
- Laryngoscopic views during Rapid Sequence Intubation (RSI) in the Emergency Department (paper)
Graham CA, Oglesby AJ, Beard D, McKeown DW
Canadian Journal of Emergency Medicine 2004; 6(6): 416-20
- Emergency Department Rapid Sequence Intubation: Choice of intravenous induction agent
Dunn MJG, Beard D, Oglesby AJ, McKeown DW, Murray AF
Canadian Journal of Emergency Medicine 2006; 8(3)Suppl:S92
- Emergency Intubation in a Scottish urban Emergency Department: an 8 year analysis
Kerslake D, Reid LA, Murray AF, Dunn MJG, Costello J, McKeown DW, Oglesby AJ
ICEM, San Francisco, April 2008
Annals of Emergency Medicine 2008; 51(4): 527-528
- Surgical airway in Emergency Department Intubation
Reid LA, Kerslake D, Murray AF, Dunn MJG, Costello J, McKeown DW, Oglesby AJ
ICEM, San Francisco, April 2008
Annals of Emergency Medicine 2008; 51(4): 528
- Theodosiou CA, Loeffler RE, Oglesby AJ, McKeown DW, Ray DC.
Rapid sequence induction of anaesthesia in elderly patients in the emergency department.
Resuscitation 2011; 82: 881-885