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Rapid sequence induction in the emergency department: a strategy for failure
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  • Published on:
    RSI and crichothyrotomy success rates

    Dear Editor

    A paper by Mizelle et al. found that (in the USA)success rates for prehospital:
    - RSI by non physicians varied from 76%-98%
    - Crichothyrotomy by non physicians varied from 0%-4%

    Are either of these procedures carried out by non-physicians in UK?

    Conflict of Interest:
    None declared.
  • Published on:
    Failed intubation drill: a necessity

    Dear Editor

    As an anaesthetist, I read with interest the article by Carley and colleagues regarding the necessity of having a drill for failed intubation in the Emergency Department. A drill is essential and should be actively taught and practised.

    The algorithm you have developed is very similar to those used in anaesthetic practice, but I wish to highlight a few points. The use of the gum-elastic bougie...

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    Conflict of Interest:
    None declared.
  • Published on:
    RSI by non-anaesthetists in the UK - lower incidence of cricothyrotomy than in the US
    • Cliff Reid, Physician
    • Other Contributors:
      • Louisa Chan

    Dear Editor

    Dr Carley and colleagues have produced invaluable and highly practical failed intubation guidelines for emergency physicians using RSI. They highlight the emergency department cricothyrotomy rate in the United States of 0.5-1.2%, and the lack of comparative United Kingdom rates, which are thought to be lower.

    As part of a prospective study of emergency airway management by intensive care doctors...

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    Conflict of Interest:
    None declared.