Prehospital use of neuromuscular blocking agents in a helicopter ambulance program

Airway Management by US and Canadian Emergency Medicine Residents: A Multicenter Analysis of More Than 6,000 Endotracheal Intubation Attempts

“…However, the higher success rates of rapid sequence intubation versus other techniques of airway management in our data are consistent with numerous other studies in the recent literature. 2,[8][9][10][11][12][13][14] That rapid sequence intubation was superior to nasotracheal intubation, despite the fact that most nasotracheal intubations came from a center that does them quite regularly, is further evidence (though nonrandomized) that rapid sequence intubation is usually the optimal choice for patients who do not present with cardiac arrest. Given the accumulated evidence of rapid sequence intubation's superiority in the abovementioned nonrandomized comparisons, it would probably be unethical to initiate a randomized trial of rapid sequence intubation versus other techniques at this point, and we will likely never see such a study.…”

Esophageal intubation with indirect clinical tests during emergency tracheal intubation: a report on patient morbidity

“…The use of neuromuscular blocking agents has been touted by our trauma and emergency department colleagues to improve intubating conditions and the percentage of successful tracheal intubations [16][17][18]. Airway management has been described as being more difficult without these agents under emergent conditions, although 80% of the patients in this database were intubated with no medication, topical anesthesia, or sedative-hypnotics alone.…”

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

“…14,17,18,24,32,34,37,38,40,50,74,75,80 Some investigators endorse tracheal intubation for profuse vomiting by inclusion as an intubation protocol criterion or as a conclusion after analysis of a patient study. 14,70 Several American and European professional organizations and societies advocate emergency tracheal intubation for postinjury severe cognitive impairment (GCS score Յ 8).…”