Critical care transport teams are often tasked with performing endotracheal intubation (ETI) during transport while adhering “to the same standards as in-hospital emergency anesthesia” (Lockey et al., 2017). One transport team adopted a checklist in 2014 to meet this high standard, but because of changes in equipment and practice expectation, an updated version was needed. The purpose of this quality improvement (QI) project was to design an updated checklist and measure the following primary outcomes: first pass success and steps taken to mitigate hypoxia and hypotension (and/or elevated shock index) prior to intubation. Additionally, a survey was administered to the clinicians after the project to determine their opinion on the usefulness of the checklist toward meeting these objectives. A total of twelve prospective and twelve retrospective charts were reviewed, and data analysis demonstrated: an improvement of first pass success from 75% with the original checklist and 92% with the updated checklist; an increase in taking steps to avoid hypoxia (67% to 75%) and hypotension (58% to 67%). Survey results were mixed and showed most clinicians felt the resource was useful but may have contained too much information to use in this situation. Overall, the revised checklist resulted in clinically significant improvements in achieving the primary objectives of improved first pass success rates and increasing steps to avoid hypoxia and hypotension
