Question:

Is there going to be changes to the ACP airway approach for the prolonged VSAs now that more studies are emerging with evidence that ETI is superior to SGA (igel) insertion? Or are the guidelines going to stay as they are now that we are post covid protocols with SGA being utilized more often then ETI. 

Answer:

SWORBHP Medical Council endorses paramedic judgement when deciding upon airway management strategies. During the pandemic, under the COVID considerations, ETI safety risks were high due to the transmissible nature of COVID and its prevalence. Now that the COVID considerations have been lifted, the risks (difficulty of airway visualization, apnea causing hypoxia, risk of spread of infectious diseases, aspiration etc.) must continue to be weighed with the benefit of airway management strategy.

Additional Resources

The 2020 AHA Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

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