Abstract 33: Videolaryngoscopy Improves EMS Intubation Success in Cardiac Arrest Patients
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Introduction: Emergency intubation by prehospital providers may be associated with a high rate of complications, including intubation failure, multiple attempts, and esophageal intubation, with increased errors noted in providers that perform intubation infrequently(1-3). Compared to conventional laryngoscopy (CL), the Glidescope (GS) videolaryngoscope (Verathon, Bothell WA) requires less training, and may be used safely by providers less skilled in intubation (4,5). In Howard County, Maryland, the intubation success rate by EMS personnel in 2009 was approximately 61%. The GS was considered as a potential tool for performance improvement. The purpose of this prospective, descriptive study was to determine the success rates and complications encountered after the implementation of GS for emergency intubation by EMS providers in Howard County. Methods: After IRB and Maryland State EMS Board approval, GS Ranger units were acquired and incrementally placed on 12 EMS vehicles. Prior to impl
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Introduction: Emergency intubation by prehospital providers may be associated with a high rate of complications, including intubation failure, multiple attempts, and esophageal intubation, with increased errors noted in providers that perform intubation infrequently(1-3). Compared to conventional laryngoscopy (CL), the Glidescope (GS) videolaryngoscope (Verathon, Bothell WA) requires less training, and may be used safely by providers less skilled in intubation (4,5). In Howard County, Maryland, the intubation success rate by EMS personnel in 2009 was approximately 61%. The GS was considered as a potential tool for performance improvement. The purpose of this prospective, descriptive study was to determine the success rates and complications encountered after the implementation of GS for emergency intubation by EMS providers in Howard County. Methods: After IRB and Maryland State EMS Board approval, GS Ranger units were acquired and incrementally placed on 12 EMS vehicles. Prior to impl
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