Here is the open access paper!
Significant modification of traditional rapid
sequence induction improves safety and effectiveness
of pre-hospital trauma anaesthesia
Kudos to Dr Richard Lyon and colleagues to publish this useful prehospital paper!
- Significantly better 1st pass success in the fentanyl/ketamine/rocuronium group vs etomidate/suxamethonium group, likely due to better direct laryngoscopic views. Uncertain reason for the difference given cohort study, using before/after methodology. Possible confounders include operator bias, operator performance over time
- Mortality rates the same between groups with no difference when analysed for only head injury related deaths
- Low rates of perintubation hypotension overall
- 100% 1st pass success is pretty impressive, which makes me wonder if the improvement was operator performance over time, rather than drug effect per se.