With rising popularity of rocuronium, this publication is a timely addition to debate regarding the ultimate paralytic in RSI. As we’ll see, the debate is definitely not settled. Rocuronium was demonstrated to be not non-inferior to succinylcholine. But we’ll see that extrapolating this study to general practice may be difficult. Depending on the camp you’re in, you may find succinylcholine gets one leg up on roc or you’ll identify one of many problems with this study that keeps rocuronium as your paralytic of choice.

The Hyoepiglottic Ligament
Hyping up the hyoepiglottic ligament! This article discusses the techniques, tips and tricks to utilizing this ligament to your full advantage.
PrePARE Trial with Dave Janz
Putting a fluid bolus during intubation into question, the Pragmatic Care Trials group and lead author Dave Janz re-examines yet another adage of “routine care.”

Mastering External Laryngeal Manipulation
External laryngeal manipulation refers to the crucial maneuver in any airway armament, used to obtain a better glottic view.

PreVent Trial and Interview with Jon Casey
Jon Casey discusses the nuances of the PreVent trial and rebukes criticism.
BEAM Article with Brian Driver Interview
Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation success Among Patients with Difficult Airways Undergoing Emergency Intubation. JAMA May 2018. It’s been a year since Brian and his team […]
Week 9: The Physiologic Nightmare with Salim Rezaie
The patient: a 27-year old who’s altered, moaning, tachynpeic and hypotensive with a glucose of 711mg/dL. We all know this patient well.. but now throw in a pH of 6.89 and you have a serious […]

Week 8: with Jacob Avila
Finally! Jacob Avila (@5minsono) of 5minsono.com joins us the ever-interesting topic of using ultrasound in airway management – specifically in tube confirmation. We cover the details of the exam, examples of successful and unsuccessful intubations […]
Tube Town Timeline
RSI timeline graphic for your viewing pleasure.
ET-CO2 and the Ultimate Low-Flow State: Interview with author James Brown
Interview with author James Brown of 2017 Resuscitation article on tube confirmation in low-flow states.