January 16, 2020 Dan Schwester No Comments

The gang jumps back in from the holiday with both feet as we discuss another What The Actual episode. This time, we take a look at the Rhode Island intubation saga!

What happened? Why? How can we learn from this and continue to advance our practice?

This episode is, as they say, a hot take. But we need to take a serious look at this data and its implications for our profession. And we need to look at our traditions, culture, and egos to truly provide the best for our patients.

The ProPublica article that highlighted the study:

https://www.propublica.org/article/ems-crews-brought-patients-to-the-hospital-with-misplaced-breathing-tubes-none-of-them-survived

The Journal of Emergency Medical Services (JEMS) article:

https://www.jems.com/2019/12/03/report-11-rhode-island-deaths-attributed-to-faulty-emt-intubation-methods/

The Rhode Island Medical Journal:

http://www.rimed.org/rimedicaljournal/2019/05/2019-05-15-ohca-complete.pdf

Dr. Henry Wang study comparing SGA with ETI in OHCA:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733371/

AIRWAYS-2 study in JAMA:

https://jamanetwork.com/journals/jama/fullarticle/2698493

Great website on critical and emergency care, Taming the SRU:

http://www.tamingthesru.com/blog/2015/6/4/endotracheal-intubation-vs-supraglottic-airway-placement-for-out-of-hospital-cardiac-arrest

Paralytics improving airway management:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466156/

https://academic.oup.com/bja/article/117/suppl_1/i60/1744126

https://www.uptodate.com/contents/neuromuscular-blocking-agents-nmbas-for-rapid-sequence-intubation-in-adults-outside-of-the-operating-room

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