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The response rate from the institutions ranged from 23.4 to 91.3%. The number of years Oxymatrine as an attending emergency physician was well-distributed among the respondents, from 0�C2 up to >15 years (Table 1). Table 1 Emergency medicine (EM) attendings�� self-reported education and experience regarding mechanical ventilation. Educational Opportunities and Experience Managing Ventilated Patients Overall, study participants reported few educational opportunities regarding mechanical ventilation, as 158 attendings (74.5%) reported receiving three or fewer hours of ventilation-related education from EM sources over the past year and 98 (46%) reported receiving between 0�C1 hour of education. Responses regarding educational experiences varied significantly among respondents from individual institutions (��2=36.761, df =24, p=0.046). Similarly, only 29 (15%) respondents of those who completed an EM residency recalled mechanical ventilation being often or frequently emphasized in their training. Conversely, attendings reported frequently caring for mechanically ventilated patients in the ED. Sixty-four percent (n=136) reported that they care for four or more ventilated patients per month, and 18.5% (n=39) reported caring for 10 or more. Furthermore, 56% of respondents stated that mechanically ventilated patients rarely have changes made selleck products to their ventilator while they are in the ED. Sixty percent (n=126) of participants described feeling comfortable caring for mechanically ventilated ED patients ��often�� or ��frequently��; whereas 38.2% (n=81) described ��never�� or ��rarely�� feeling comfortable managing these patients. Only 27.9% (n=59) described management of the ventilator as the responsibility of an emergency physician (resident or attending) at their institution, while 69% (n=145) identified the respiratory therapist (RT) as being primarily in charge of ventilator management (Table 1). Ventilator Management Knowledge The overall correct response rate for the nine-question assessment tool was 73.4%, standard deviation (SD)��19.9%. Of the 210 attendings who completed at least part of the assessment tool, 124 (59%) achieved a score of at least 70%. Significant differences in total test scores were noted between institutions (F=4.592, pIvacaftor in total test score between participants from the institution with the lowest mean score and those from three other institutions (p