The World’s Okayest Medic Podcast

Questioning the Prehospital Airway Narrative

Apr 9, 2024
The podcast challenges the prehospital airway narrative, discussing the use of supraglottic airways in civilian settings, the importance of first pass success in intubation, disparities in paramedic and physician intubation outcomes, and the accuracy of reporting intubation success rates. It also explores the risks of sedatives in pre-hospital intubation procedures and highlights the need for proper protocols and safety measures.
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INSIGHT

Paramedic Intubation Scrutiny

  • No discipline of healthcare has had their first pass success rates studied more closely than paramedics.
  • Physicians love to scrutinize and criticize paramedics' intubation skills.
ANECDOTE

ER Airway Chaos

  • Mike recounts witnessing chaotic airway management by physicians in emergency rooms.
  • He describes instances of multiple intubation attempts, aspiration complications, and a "bloody mess" in a resuscitation bay.
INSIGHT

Physician Hypocrisy

  • Mike criticizes the hypocrisy of physicians criticizing paramedics' intubation skills.
  • He compares it to someone criticizing another's weight gain while being overweight themselves.
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