Episode 18-Paramedic Intubation

The gang welcomes Mike DeFillippo, MS3 and Paramedic to the team, and we jump into the controversy surrounding prehospital intubation. Who should do it? What tools do you need to safely accomplish it? And what role does your agency play in your success (or failure) at this critical skill?

When done right, no one notices. When it fails, bad things happen. We take a look at the science and what they're trying to tell us; and hopefully give some ideas.

Dr. Wang latest research on ETI in cardiac arrest:

Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal ...

https://jamanetwork.com/journals/jama/fullarticle/2698491

by HE Wang - 2018

European study showing ETI gives better results than BVM (bag of death):

Bag-mask ventilation fails to improve on endotracheal intubation in ...

https://www.escardio.org/.../bag-mask-ventilation-fails-to-improve-on-endotracheal-in...

Experience matters?

Bossers et al. Experience in Prehospital Endotracheal Intubation Significantly Influences Mortality of Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-Analysis. PLoS One. 2015; 10(10): e0141034.

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