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The review of ambulance service prehospital airway management by the Joint Royal Colleges Ambulance Liaison Committee is timely, if not inevitable.1
A quarter of a century ago the development of resuscitation guidelines was largely dependent on expert opinion as there was little evidentiary data. Those involved gave their best advice based on personal or collective experience.2 Endotracheal intubation—a ‘cuffed tube in the trachea’—was considered the ‘gold standard’ for airway control and protection.3 4 Mirroring what was the then standard in-hospital practice, intubation spilled into …
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