Toss the Tube or Scoop and Run?- Controlling the Airway in Out of Hospital Cardiac Arrest

How should we handle the airway in out of hospital cardiac arrest? Just bag and go? Should we tube these guys? Maybe just toss in a supraglottic? In this podcast we review these three strategies and the recent research on the topic.

 

Article 1:

Effect of Bag-Mask Ventilation vs Endotracheal Intubation During Cardiopulmonary Resuscitation on Neurological Outcome After Out-of-Hospital Cardiorespiratory Arrest
A Randomized Clinical Trial [pubmed]

Article 2:

Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome: The AIRWAYS-2 Randomized Clinical Trial. [pubmed]

Article 3:

Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. [pubmed]

 

The Glasgow-Pittsburgh Cerebral Performance Categories

Modified Rankin Scale

 

Author: Jason Hine MD and Sam Potter MD

Peer Reviewer: Jeff Holmes MD