OBJECTIVE The goal of this study was to assess the effect of high-fidelity simulation (HFS) pediatric resuscitation training on resident performance and self-reported experience compared with historical controls. METHODS In this case-control study, pediatric residents at a tertiary academic children's hospital participated in a 16-hour HFS resuscitation curriculum. Primary outcome measures in...

We describe a four-step method for fibreoptic-guided, rapid-sequence tracheal intubation through the air-Q intubating laryngeal airway in infants with severe airway obstruction. Our step-wise process provides an organised and controlled approach to safely securing the airway.

BACKGROUND Advanced airway management is composed of a set of vital yet potentially difficult skills for the prehospital provider, with widely different clinical guidelines. In the military setting, there are few data available to inform guideline development. We reevaluated our advanced airway protocol in light of our registry data to determine if there were a preferred maximum number of endot...

We report a case of tracheal rupture in an 84-yr-old patient after tracheal intubation. The aetiology and treatment are discussed and the recent literature is reviewed.

BACKGROUND Videolaryngoscopes may not be useful in the presence of hematemesis or vomitus. We compared the utility of the Macintosh laryngoscope (McL), which is a direct laryngoscope, with that of the Pentax-AWS Airwayscope (AWS) and McGRATH MAC (McGRATH), which are videolaryngoscopes, in simulated hematemesis and vomitus settings. METHODS Seventeen anesthesiologists with more than 1 year of ...

Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor’s Note that summarizes important concepts. Participation as an authoritative discussant is by invitation only, but suggestions for topics and potential authors can ...

This study aimed to develop statistical models describing the learning of endotracheal intubation (ETI). We collected data from 100 subjects undergoing ETI training with intubatable medical models and manikins (airway trainers). Trainees initially viewed a video about ETI and an instructor demonstrated the technique. Subjects then made up to 17 supervised trials. Each trial was scored as a succ...

a higher endotracheal intubation (ETI) success rate for physicians compared with nonphysicians [1]. We reanalysed the data from Lossius and colleagues to investigate the relationship between the clinicians’ levels of training and ETI success rates, utilising the ‘Overview of included studies’ spreadsheet published online as an additional fi le. We created a variable for a high level of ETI trai...

Sir,—The paper by Dunnett (1977) and the subsequent letter from Cormack (1977) deal with the problem of avoiding awareness during endotracheal intubation. May I draw attention to a special situation in which the likelihood of such awareness appears to be increased. This happens when the intranasal cavity is prepared for surgery with cocaine solution or cocaine paste immediately before induction...