Run Time: 4 minutes
Author: Dr. Aaron Lessen
- 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.