UMEM Educational Pearls

Title: Endotracheal medication administration

Category: Critical Care

Keywords: endotracheal intubation, medication, acls, resuscitation (PubMed Search)

Posted: 10/7/2010 by Ellen Lemkin, MD, PharmD
Click here to contact Ellen Lemkin, MD, PharmD

EMS in Maryland has REMOVED endotracheal medication administration from its ADULT protocols

This is due to:

Unclear efficacy and need for a much higher dosage
Ability to administer drugs via IO route
Decrease reliance on intubation
- chest compressions only CPR
- BiPAP use
Note this does not pertain to PEDIATRICS, where it is still included in its protocols