TY - JOUR T1 - Sophia JF - Emergency Medicine Journal JO - Emerg Med J SP - 741 LP - 741 VL - 23 IS - 9 AU - Russell Duncan AU - Jonathan Wyatt Y1 - 2006/09/01 UR - http://emj.bmj.com/content/23/9/741.abstract N2 - A double blind, randomised controlled trial compares midazolam with etomidate (without paralysing agents) for facilitating tracheal intubation in the prehospital setting ( Ann Emerg Med2006;47:525–30OpenUrlCrossRefPubMedWeb of Science) . The measured outcome of successful intubation was approximately 75% in each group. The rates of adverse events were also similar in the two groups. The study has limitations—a success rate of approximately 75% does not compare favourably with other methods of intubation, particularly rapid sequence intubation. Tracheal intubation has been a part of prehospital care for many years. Recent studies have indicated that it does not always achieve its intended goals. A review ( Ann Emerg Med2006;47:532–41OpenUrlCrossRefPubMedWeb of Science) examines the current evidence through a series of questions exploring the effectiveness, safety and impact on other aspects of care. As a US based review, there is an issue about the extent to which conclusions may apply elsewhere, but it remains thought provoking nonetheless. Researchers used cadavers to compare various manaoeuvres employed to try to improve laryngeal view with a curved … ER -