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Prehospital Airway Management for Out-of-Hospital Cardiac Arrest

Michael Bernhard, MD; Torben K. Becker, MD; Bernd W. Böttiger, MD
JAMA. 2013;309(18):1888. doi:10.1001/jama.2013.3098.
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To the Editor: Dr Hasegawa and colleagues1 studied different approaches to prehospital airway management (endotracheal intubation, supraglottic airway devices, and bag-valve-mask ventilation) in patients with out-of-hospital cardiac arrest (OHCA) in a Japanese cohort. The conclusion of the authors is in contrast to other evidence.

First, several studies have shown poor success rates of about 80% for prehospital endotracheal intubation performed by paramedics,2 but Hasegawa et al1 did not report the success rates of either endotracheal intubation or supraglottic airway devices in their cohort, or the incidence of undetected esophageal intubation or supraglottic airway device displacement.


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May 8, 2013
Kohei Hasegawa, MD, MPH; Atsushi Hiraide, MD, PhD; David F. M. Brown, MD
JAMA. 2013;309(18):1888-1890. doi:10.1001/jama.2013.3107.
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