@rfdsdoc Bet’s on! Jan 1st 2020. If any training ED in Qld is still using DL I will give you a personally engraved Mac laryngoscope. Tweet by @jodeverill July 2013

failed VL

Meet Dr Jo Deverill, an emergency physician on Sunshine Coast in Queensland, Australia. He is one of the co-authors of Life in the Fast Lane. I met him at SMACC 2013 and he is good fella.

Anyway he is on Twitter, @jodeverill and we had this conversation yesterday.

Jo- “All VLs fail”. Really? Can you justify this?

me- ๐Ÿ™‚ I meant to say all VLs can fail..hence the screenshot of the Glidescope affected by EMP weapon

Jo- Surely you’re not saying we should keep DL in case of EMP weapon attack.

me- ย and the zombie apocalypse

Jo- Well it’s always a good idea to consider worst case scenarios! But I reckon DL will be obsolete before the decade is out.

me- ย u want to bet? ๐Ÿ˜‰

Jo-ย  Bet’s on! Jan 1st 2020. If any training ED in Qld is still using DL I will give you a personally engraved Mac laryngoscope.

me- done. Will post the bet on PHARM to immortalise it and set the countdown timer

11 thoughts on “@rfdsdoc Bet’s on! Jan 1st 2020. If any training ED in Qld is still using DL I will give you a personally engraved Mac laryngoscope. Tweet by @jodeverill July 2013

  1. DL can never die (or at least in my lifetime cuz I’ll always still use it): direct line of sight optics out of airway is simplest and most versatile technique with best overall tube delivery, has stood the test of time and is rescue for VL!

      1. Hard to see how Jo can win.

        Than again, he came up to me at smaccGOLD and reckoned that our little checklist debate had dissuaded him from their use! So obviously not thinking straight…..

        I predict that, come 2020 :

        1/ people are still using DL in ED (but have VL option)
        2/ almost all will use an RSI checklist and be part of airway registry

        You know that makes sense!

  2. So for Jo to lose all we have to do is find one patient intubated with a DL, in a Queensland ED, in 2020.

    I’d reserve a space for that personally engraved laryngoscope now. Minh to win ๐Ÿ˜‰

    S

  3. I’m thinking actually that Jo loses if any training ED in QLD is teaching its registrars to intubate using DL in 2020. Jo may well lose – but there are absolutely going to be ED consultants and registrars using DL – but if any are teaching this as being best practice in 2020 – then Jo loses. I say Jo will win – as no modern ED would take that approach — and this is coming from someone who has a couple thousand DL’s … and begrudgingly … actually with enthusiasm uses a C-MAC VL setup. I have recently had 2 patients who were elderly, both with no mouth opening, and both with surgical fusion C1-7 (yes I know — what are the odds of having 2 of these patients in 2 months … well, I had them) who required intubation. The C-MAC with a D-blade completely saved me from having to do a surgical airway. DL would have been a complete waste of time. First attempt = Best attempt 100% of the time favors VL. I was a proponent for ever for DL … I’ve moved to Jo’s side.

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