Podcast #69: Critical Airway Management - The Emergency Medical Minute

Podcast #69: Critical Airway Management

Run Time: 4 downloadminutes

Author: Dr. Aaron Lessen

Educational Pearls:

  • Over the last few years, general consensus has strayed away from pre-hospital intubation in the field. This is because it has been found that interruptions to CPR (namely intubation and airway management) decrease the success of the patient.
  • This was believed to be solved via the quick placement of a King Tube or a supraglottic device.
  • This was believed widely until there was a study done on the placement of supraglottic devices in pigs during cardiac arrest decreased carotid blood flow.
  • Multiple observational studies have shown patients have a higher rate of return of spontaneous circulation, greater rate of admission, and better neurological status upon discharge with endotracheal intubation in the field versus supraglottic device placement.

References:  http://www.ncbi.nlm.nih.gov/pubmed/26006743

1 comment on “Podcast #69: Critical Airway Management

  1. dylanluyten says:

    Pig study didn’t show that SGA caused cardiac arrest in pigs, but that it decreased CBF during CPR in pigs already in cardiac arrest. Here’s the link: http://emcrit.org/wp-content/uploads/2012/06/segal-sga.pdf

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