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Advanced airway is seen as a definitive and reliable means of establishing protected ventilation and oxygenation. It has been shown to improve ROSC and neurological outcomes. The main deterrent to the traditional ABC model, is the potential pauses in CPR, whilst attempting to establish airway. Because of this, we have moved to a delayed airway model  during resuscitation, not establishing advanced airways until ROSC has been achieved.

Is it time to reassess? We review this study ahead of print. (15 minute read)

Amagasa S. et al. Early versus late advanced airway management for adult patients with out-of hospital cardiac arrest: A time dependent propensity score-matched analysis. Acad Emerg Med 2024 April.

Question asked

Is early airway management associated with favourable neurological outcomes and survival in patients with out of hospital cardiac arrest (OHCA)?

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