Why First Pass Success?
Best review article – first-shot-is-the-best-shot
Each Attempt Makes Things Worse
Hasegawa et al. showed at 3 attempts, things got bad (Ann Emerg Med 2012;60:749)
Sackles JC et al. showed that >1 attempt radically increased complications (ACADEMIC EMERGENCY MEDICINE 2013; 20:71–78)
Mort demonstrated this in the ICU, after two attempts risk of crit desat (70%) is huge and assoc. with cardiopulm arrest (Anesth Analg 2004;99:607)
Mort has further elaboration re: the dangers of intubation in the critically ill (J Inten Care Med 2007;22(4):208)
Heffner et al. showed a 4% cardiac arrest rate in ED intubations (Incidence and factors associated with cardiac arrest complicating emergency airway management. Resus 2013)
Duggan showed >1 attempt = badness
Learning Curve for Laryngoscopy
- Best review of lit is at Openairway
- How many general ED docs do: Ann Emerg Med. 2019 Jun 24. doi: 10.1016/j.annemergmed.2019.04.025.
- How many they need to do: West J Emerg Med. 2019 Jul;20(4):601-609. doi: 10.5811/westjem.2019.6.42946.
VL Teaches DL
This letter has a discussion and pertinent references (BJA 2017;119(4):842–843)
EMCrit Failed Airway Algo V2.0
Bug the ResusTO Folks to Do the Course Again
Blade Views by Nick Chrimes
Now on to the Vodcast…
Latest posts by Scott Weingart (see all)
- EMCrit 261 – Thrombolysis during Cardiac Arrest - December 12, 2019
- EMCrit 260 – Thoughts on the NEJM Acute Upper Airway Obstruction Review - November 30, 2019
- EMCrit 259 – Cardiogenic Shock — The Next Level & Mechanical Circulatory Support with Jenelle Badulak - November 13, 2019