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Highlights
Draft ILCOR Advanced Airway Recommendations: Banning Paramedic Intubation-What System will be the First?

The recommended guideline takes into account the latest literature, including The Pragmatic and AIRWAYS-2 trials: 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 Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation If an advanced airway is used, we suggest a supraglottic airway for adults with out-of-hospital cardiac arrest in settings with a low tracheal intubation success. If an advanced airway is used, we suggest a supraglottic airway or tracheal intubation for adults with out-of-hospital cardiac arrest in settings with a high tracheal intubation success rate. Using the individual study definitions, we considered the Wang and Benger RCTs (Benger 2018 779, Wang 2018 769) as having a low tracheal intubation success rate (51.6% and 69.8% respectively) and the Jabre study (Jabre 2018 779) as having a high success rate (97.9%).

Our Work is Different

Our Work is Different Jumpseat Radio It’s not a brotherhood of one! Images and Video: Massive Apartment Fire in the North Shore Communities of WI Results in 15-20 Rescues by The Fire Department Companies Mortal Men: Paramedics on the Streets of Hartford

Moral Injury

If a fellow paramedic hurts his back lifting or wrestling with a patient, I would never thing to say, “Get another job. You don’t belong in this work work anymore. There have been great innovations in stretcher design (when I started we used a two man dead lift), stair chairs, safety nets, and driver safety systems. And while most services have employee assistance programs, I can’t think of any preventative measure routinely taken in EMS to prevent moral burnout.

An Underappreciated Attribute

There are many qualities I appreciate in a BLS partner (Our system pairs either each paramedic with an EMT.) If a partner can’t lift, I make use of first responders. If a partner is not a good EMT, I never rely on them. If a partner doesn’t know where they are going, I can direct them because I know the roads.

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