Introduction: Airway obstruction is the second leading cause of potentially preventable death
on the battlefield. Endotracheal intubation is a critical skill needed by emergency military
physicians to manage these patients. Our objective is to describe the development of the
Defense Registry for Emergency Airway Management (DREAM) at Brooke Army Medical
Center (BAMC), a level 1 trauma center over a 7-month period. Methods: Emergency
physicians (EP) performing endotracheal intubations in the BAMC emergency department …

EPs performed a total of 74 intubations. Reasons for intubation were related to trauma for 47
patients (64%) and medical conditions for 26 patients (36%). Patient median age was 51
(interquartile range 30-72) and most were male 48 (65.7%). Difficult airway characteristics
were blood in the airway (26%), facial trauma (23%), and airway obstruction (1%). Most
intubations utilized video laryngoscopy utilizing C-MAC (45%) and the Glidescope (41%).
Overall first-pass success rate was 93% with majority of intubations performed by second …