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We analyzed 278 patients with suspected NSSI, and found 14 (5.0%) had IAT. Compared to appropriately transported patients, diving was associated with higher percentages of IAT (28.6% vs. 3.9%, p=0.014) and more were transported by air (50.0% vs. 20.6%, p=0.01). In multivariable regression, patients' oxygenation saturation (OR=0.8, 95% CI 077-0.98) and diving (OR=7.5, 95% CI 1.2-46) were significantly associated with IAT. Rate of IAT for patients with NSSI was low. However, first responders and emergency medicine providers should be aware