TY - CHAP M1 - Book, Section TI - Supraglottic Airway Devices A1 - Severyn, Fred A. A2 - Reichman, Eric F. PY - 2018 T2 - Reichman's Emergency Medicine Procedures, 3e AB - Airway management and the subsequent provision of oxygenation and ventilation remains one of the foundational principles in the clinical practice of Emergency Medicine in the Emergency Department and the prehospital environment. The majority of advanced airway interventions in the prehospital environment occur in the cardiac arrest or major trauma patient with significant altered mentation. A growing body of evidence questions actual survival benefit for the practice of endotracheal (ET) intubation. A baseline proficiency in airway management via intubation requires on the order of 50 to 100 intubations, a clinical experience not commonly found in the prehospital training environment.1 Even more disheartening are numerous studies demonstrating a significant percentage of cases of unrecognized esophageal airway placement or ET tube migration out of the airway upon Emergency Department arrival. Such therapeutic misadventures guarantee bad outcomes.2 Most of these studies describe relatively busy prehospital systems with clearly defined medical oversight. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159795000 ER -