DASH-1A for Airway QA

Tuesday, November 5, 2024

11:15 – 11:45 MST

Location: 251 AD

Earn 0.5 credits - CAPCE; Nursing; CME; MTSP-C CE credit

Phil Nawrocki, MD, FAEMS

EMS Medical Director
Allegheny General Hospital

Disclosure(s): No financial relationships to disclose
Cassandra Asberry, BA, EMT-P, NRP, FP-C (she/her/hers)

Flight Paramedic
Allegheny LifeFlight
Pittsburgh, Pennsylvania

Disclosure(s): No financial relationships to disclose

Disclosure(s):

Phil Nawrocki, MD, FAEMS: No financial relationships to disclose

Cassandra Asberry, BA, EMT-P, NRP, FP-C: No financial relationships to disclose

First-pass success is widely used to monitor the quality of airway management in pre-hospital and emergency disciplines. However, first-pass success is a dichotomous metric - either yes or no - which does little to paint a clinical picture about how well our patients tolerate intubation. DASH-1A, a GAMUT-endorsed metric of airway management quality, places emphasis on patient condition during intubation. This presentation will review AHN LifeFlight's transition from a first-pass focused airway QA structure to a nuanced, DASH-1A centric approach and detail the steps needed for successful implementation.

Learning Objectives:

Recognize the limitations of first-pass success as a primary metric of airway management quality
Understand the concepts underlying DASH-1A and how they contribute to patient safety
Discuss processes for successful utilization of DASH-1A to measure quality of airway management