Airway management in cardiac arrest part 1: AIRWAYS 2 (Benger 2018)

Critical appraisal of the AIRWAYS2 trial (Benger 2018)

You probably don’t need a medical degree to know that breathing is important, and that in order to breathe, you need to have an unobstructed airway that connects your lungs to the world. As a result, when you die, one of our first instincts in medicine is to ensure that you have an open airway. However, if your heart is stopped, fiddling around with the airway will do nothing to restart it. Furthermore, it has never been clear whether advanced airway interventions like intubation are any better than simply maneuvers like a jaw thrust in the context of cardiac arrest. Although emergency physicians love intubating, observational data has suggested that advanced airway management might not be a priority in cardiac arrest. (Hasegawa 2013; Benoit 2015) This week we will cover 3 large RCTs addressing the issue. This is part 1.

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Prehospital plasma in trauma (PAMPer)

The PAMPer study (Sperry 2018) – Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock

Fluid resuscitation in trauma: a topic about which there are almost certainly more strong opinions than there are strong studies. We have moved away from crystalloid and towards using blood products, which makes some sense, given that is what the patient is losing. One question that remains is the role of plasma in resuscitating these patients, which leads us to this RCT.

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