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From KARL STORZ Endoscopy-America, Inc.
From KARL STORZ Endoscopy-America, Inc.
Salt Lake City Fire Department investigation finds no difference in the interruption to compressions between video and direct laryngoscopy
DALLAS — Advanced airway placement during cardiac arrest resuscitation may interrupt chest compressions and lead to excessive ventilations.
Scott Youngquist, MD, the medical director for Salt Lake City, presented a process to implement video laryngoscopy and determine if VL could lead to less interruptions in chest compressions than direct laryngoscopy at the 2016 Gathering of Eagles XVIII EMS State of the Science program.
The success of intubation with direct laryngoscopy and video laryngoscopy were reviewed. During the trial period the quality of CPR, including interruptions to chest compressions during DL and VL, were measured and compared.
Apply waveform capnography to make informed clinical decisions before, during, and after cardiac arrest patient care.
Youngquist reported no differences were found to interruptions to chest compressions which reinforced the importance of high-quality CPR.
Memorable quotes on airway management during CPR
"There is no chance of an unrecognized esophageal intubation as long as you are using end-tidal CO2 monitoring." — Scott Younquist, MD
Key takeaways on DL and VL during CPR Here are three takeaways from the paramedics involved in Youngquist's comparison of VL and DL.
Like MDs, paramedics find obtaining a view with video laryngoscopy is easier than passing the tube. #Gatheringeagles16
First pass success in Salt Lake City with dl,vl and King lt #gatheringeagles16 pic.twitter.com/IVrSdlktn5
Greg Friese, MS, NRP, is the Lexipol Editorial Director, leading the efforts of the editorial team on Police1, FireRescue1, Corrections1 and EMS1. Greg served as the EMS1 editor-in-chief for five years. He has a bachelor's degree from the University of Wisconsin-Madison and a master's degree from the University of Idaho. He is an educator, author, national registry paramedic since 2005, and a long-distance runner. Greg was a 2010 recipient of the EMS 10 Award for innovation. He is also a three-time Jesse H. Neal award winner, the most prestigious award in specialized journalism, and the 2018 and 2020 Eddie Award winner for best Column/Blog. Connect with Greg on Twitter or LinkedIn and submit an article idea or ask questions with this form.
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