High adverse event rate after prehospital RSI

The Prevalence of Adverse Events After Prehospital Neuromuscular Blockade-Assisted Airway Management
Prehospital Emergency Care · Added 4 August 2026

Investigates the prevalence of adverse events following prehospital airway management using neuromuscular blockade

Study type: Cross-sectional
Design: Cross-sectional analysis of 2023 NEMSIS national dataset
Participants: 11,525 adult prehospital neuromuscular blockade-assisted airway cases
Main finding: 27.5% had at least one adverse event within 10 minutes: hypoxemia 25.0%, hypotension 15.0%, bradycardia 2.7%, cardiac arrest 1.9%; first pass success 80.6%; abnormal pre-blockade vitals markedly increased odds (e.g. hypotension OR 16.8, 95% CI 13.1-21.8)
Caveat: Administrative dataset with no chart-level verification; excludes cardiac arrest cases; US data only
Bottom line: Supports current practice

Why it matters in Australia (Low relevance). No abstract available — cannot assess safety outcomes or transferability without full text

Learning goal

Recognise how abnormal pre-intubation vitals predict adverse events after prehospital rapid sequence intubation.

Mechanical vs manual ventilation in CPR equal

Resuscitation · 3 Aug 2026 · Systematic review · Context only

This systematic review of 13 articles (six RCTs, seven non-randomised studies) found very low to low certainty evidence showing no significant difference in ROSC between volume-controlled mechanical ventilation and manual ventilation during CPR.
Miller vs Macintosh blade in paediatric intubation

Emergency Medicine Australasia · 27 Jul 2026 · Registry · Hypothesis-generating

In this cohort of young children intubated in the ED, Macintosh blade use was associated with higher FPS and fewer hypoxic events compared with Miller blade.
Awake intubation by emergency physicians feasible

Annals of Emergency Medicine · 27 Jul 2026 · Other · Context only

In this preliminary single-center study, emergency physicians performed awake intubation with relatively high incidence, high overall success, and low rates of major adverse events.
Hypopharyngeal perforation after King laryngeal tube

Prehospital Emergency Care · 27 Jul 2026 · Case series · Context only

Hypopharyngeal perforation is a rare but serious complication of prehospital King laryngeal tube placement.