Advanced Airway Updates

We were lucky enough to be back at the fantastic TraumaCare Conference last week.

There were a whole host of fantastic talks on offer and the Emergency Medicine stream, arranged by our very own Rob Fenwick, included a pro/con debate on whether Emergency Medicine should be managing the trauma airway. During that debate a number of important papers were raised on the evolution and improvement in advanced airway management. In this podcast we’ll run through some of the most important points from that talk.

Make sure you take a look at the papers yourself and come to your own conclusions.

Enjoy!

Simon & Rob

References & Further Reading

TraumaCare

First-Attempt Intubation Success Among Emergency Medicine Trainees by Laryngoscopic Device and Training Year: A National Emergency Airway Registry Study. Samuel I Garcia. Ann Emerg Med. 2023

Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. Casey JD. N Engl J Med. 2019 

A two-handed jaw-thrust technique is superior to the one-handed“EC-clamp” technique for mask ventilation in the apnoeic unconscious person. Joffe AM. Anesthesiology. 2010

Acute airway management in the emergency department by non–anesthesiologists. Kovacs G. Can J Anaesth. 2004 

Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anesthesia: The IRIS Randomized Clinical Trial. Birenbaum A. JAMA Surg. 2019

Pre-hospital emergency anaesthesia in awake hypotensive traumapatients: beneficial or detrimental? Crewdson K. Acta Anaesthesiol Scand. 2018

The Bougie and First-Pass Success in the Emergency Department. Driver B. Ann Emerg Med. 2017

Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation SuccessAmong Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. Driver BE. JAMA. 2018

The who, where, and what of rapid sequence intubation: prospective observational study of emergency RSI outside the operating theatre. Reid C. Emerg Med J. 2004