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Is prehospital ETI associated with improved outcomes?

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The association between prehospital ETI and patient outcome is unclear. Most studies entail observational analyses vulnerable to confounding by indication [8, 9]. However, select randomized clincial trials comparing ETI with other airway techniques provide important data and perspectives. Gausche et al. found no differences in survival or neurological outcome between children receiving ETI and those receiving bag‐valve‐mask ventilation (BVM) [10]. Conducted in France and Belgium, the Cardiac Arrest Airway Management (CAAM) trial found no difference in survival between adult out‐of‐hospital cardiac arrests managed with ETI vs. BVM [11]. The AIRWAYS‐2 trial in the United Kingdom found no difference in survival or 30‐day functional outcome between adult out‐of‐hospital cardiac arrest (OHCA) patients receiving ETI vs. i‐gel® [12]. In the United States, the Pragmatic Airway Resuscitation Trial (PART) found improved 72‐hour survival among adult OHCA managed with the laryngeal tube vs. ETI [13].

Emergency Medical Services

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