OBJECTIVE: Pediatric @entity131 ( @entity131 ) guidelines should direct @entity1 management. This retrospective study compared ventilation monitoring practices of nontrauma center (NTC) personnel and air medical crews (AMCs) in pediatric @entity1 with severe @entity131 at NTCs after endotracheal intubation. METHODS: Pediatric @entity1 charts for level I @entity130 center admissions between 2008 and 2013 with severe @entity131 were screened. Inclusion criteria included admission Glasgow @entity772 Scale score  <= 8, head Abbreviated Injury Scale score of >=  3, and secure airway initiated or managed at an NTC. RESULTS: A total of 30 @entity1 were evaluated. The median head Abbreviated Injury Scale score was 4, and the @entity130 center mortality rate was 30%. NTC personnel and AMCs intubated 22 and 8 @entity1 , respectively. AMCs monitored ventilation with much greater regularity (100 vs. 41%, P = .004), used continuous waveform capnography more often (75 vs. 14%, P = .003), and also initiated it quicker (17 vs. 37 minutes, = .001) after intubation. Unmonitored @entity1 from NTC intubations waited on average 72.3 minutes before interfacility transport to the @entity130 center. CONCLUSIONS: AMCs showed superior ventilation monitoring after intubation in pediatric @entity1 with severe @entity131 . Ventilation monitoring was not routinely conducted by NTC personnel, signifying areas to improve @entity1 care.

Ventilation Monitoring in Severe Pediatric XXXX at Nontrauma Centers.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity131 :: ('MESH:D001930', 'Disease') :: ['TBI', 'traumatic brain injury'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Coma'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity131 :: (MESH:D001930,Disease) :: ['Traumatic Brain Injury']
