BACKGROUND Tracheal intubation-associated events (TIAEs) are common (20%) and life threatening (4%) in pediatric intensive care units. Physician trainees are required to learn tracheal intubation during intensive care unit rotations. The authors hypothesized that "just-in-time" simulation-based intubation refresher training would improve resident participation, success, and decrease TIAEs. ME...

OBJECTIVE To evaluate the effect of the China-America Union Pre-Hospital Emergency Care Training Program (PHEC) on the emergency medical knowledge and skills of Chinese paramedics. METHODS This study was conducted at the Emergency Command Center of Zhejiang Province, Zhejiang Provincial People's Hospital, Hangzhou, China from June to December 2011. The experimental group of 113 trainees, and...

BACKGROUND AND OBJECTIVES There are multiple procedural skills common to all residency programs. This study had two main objectives: (1) Use an interdisciplinary team to develop a procedural competency checklist for adult endotracheal intubation that could be shared across specialty programs and levels of training and (2) Evaluate the validity and reliability of the checklist. METHODS Clinica...

Performing emergency endotracheal intubation necessarily means doing so under less than ideal conditions. Rates of first-time success will be lower than endotracheal intubation performed under controlled conditions in the operating room. Some factors associated with improved success are predictable and can be modified to improve outcome. Factors to be discussed include the initial decision to p...

STUDY OBJECTIVE Video imaging of intubation as seen by the laryngoscopist has not been a part of traditional instruction methods, and its potential impact on novice intubation success rates has not been evaluated. METHODS We prospectively tracked the success rates of novice intubators in paramedic classes who were required to watch a 26-minute instructional videotape made with a direct laryng...

University of Western Australia, First Floor N Block, QEII Medical Centre, Nedlands, WA. Fiona R Lake, MD, FRACP, Associate Professor in Medicine and Medical Education, Education Centre, Faculty of Medicine and Dentistry; Jeffrey M Hamdorf, PhD, FRACS, Associate Professor in Surgical Education, School of Surgery and Pathology. Reprints will not be available from the authors. Correspondence: Ass...

BACKGROUND Orotracheal intubation in dogs is a common and easily-performed procedure that provides a patent airway during anaesthesia. In dogs with temporomandibular joint ankylosis or pseudo-ankylosis, airway management can be a challenging procedure since these dogs have a limited ability to open their mouth. Methods to provide safe, uneventful intubation in such patients may include minimall...