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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

click for pdf

Bug the ResusTO Folks to Do the Course Again

ResusTO

Blade Views by Nick Chrimes

Now on to the Vodcast...