Sometimes blog posts are not earth-shattering in any one piece of information but are just a really well organized nice read. This piece from EM Ottawa is one of those posts. It is a well-rounded approach to the physiologically difficult airway. It is from last year but came across my twitter feed today and found it a great candidate for this list.
2) Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome
There doesn’t seem to be an end to the lingering question of whether endotracheal intubation or supraglottic airways is best during a code. This long-awaited study shrugs its shoulders at the question by showing no significant difference between the two when looking at 30-day outcome. This paper had a large sample size over 4 EMS services in England. There were some interesting nuggets including that the initial ventilation was successful about 10% more frequently with supraglottic airways—but it seems providers were slightly less likely to intubate. I think it is time to reframe our discussion on airway management from which is best overall to which is the best choice for my patient right now.
I wanted to add a non-airway topic here—and to include a podcast. The most recent podcast from Prehospital Emergency Care fit the bill nicely. The audio is outstanding in quality and creative in presentation, and the topic is relevant: Use of lights and siren in emergency response. This episode interviews legendary EMS doc and medic Doug Kupas, author of the NHTSA paper on the use of lights and siren. The theme is the latin term Primum non nocere – first, do no harm.