The PART trial (Similar to the ROC PRIMED trial, also found survival to be higher in patient's with only BVM ventilation. It's also worth mentioning regarding the AIRWAYS-2 trial that in the UK ground crews do not intubate in cardiac arrest. They rarely intubate at all. That is almost entirely within the purview of HEMS.
Are there any published studies for ER/ICU on this? (Or at least metanalysis favoring IP) Having worked prehospital for many years before trading roadsides and the floors of Chinese restaurants for climate control and ergonomically positioned patients extrapolating prehospital data to me seems like adding an extra variable. (Especially considering the 18% part) I think there is a valid point to be made that the paramedic who does one intubation every few months (or even a hospitalist responding to a code who does not routinely resus) and only has DL should strongly consider SGA first as non-inferior. But when it is an inhospital arrest with adequate EM/CC staff, VL already at beside, I don’t think this answers the question of if a provider who can intubate a pt without requiring stopping CPR should choose initial resus with SGA vs going ahead with intubation.
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The PART trial (Similar to the ROC PRIMED trial, also found survival to be higher in patient's with only BVM ventilation. It's also worth mentioning regarding the AIRWAYS-2 trial that in the UK ground crews do not intubate in cardiac arrest. They rarely intubate at all. That is almost entirely within the purview of HEMS.
At stony we tend to do LMA until rosc unless there’s anatomic concerns
Love this!
Could you please link the sources you use in the presentation?
Are there any published studies for ER/ICU on this? (Or at least metanalysis favoring IP) Having worked prehospital for many years before trading roadsides and the floors of Chinese restaurants for climate control and ergonomically positioned patients extrapolating prehospital data to me seems like adding an extra variable. (Especially considering the 18% part) I think there is a valid point to be made that the paramedic who does one intubation every few months (or even a hospitalist responding to a code who does not routinely resus) and only has DL should strongly consider SGA first as non-inferior. But when it is an inhospital arrest with adequate EM/CC staff, VL already at beside, I don’t think this answers the question of if a provider who can intubate a pt without requiring stopping CPR should choose initial resus with SGA vs going ahead with intubation.
Supraglottic airways are not equal!
Totally true!