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When compared to rapid sequence intubation (RSI), this RCT showed decreased peri-intubation hypoxic events and increased first attempt success in agitated and delirious ED patients with major trauma who underwent delayed sequence intubation (DSI).

Source
Peri-Intubation Hypoxia After Delayed Versus Rapid Sequence Intubation in Critically Injured Patients on Arrival to Trauma Triage: A Randomized Controlled Trial. Anesth Analg. 2023 May 1;136(5):913-919. doi: 10.1213/ANE.0000000000006171. Epub 2023 Apr 14.

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Video laryngoscopy (VL) has shown advantages over direct laryngoscopy (DL) in the literature, but should it be the primary approach to intubation? These two anesthesiologists debate.

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Patients who required hemorrhage control surgery after major trauma and were intubated in the ED had higher rates of adverse outcomes than those intubated in the OR. Importantly, patients with “clinical indications for intubation” were excluded from analysis.

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The use of a bougie for pediatric intubation was not associated with increased first pass success or increased complication rates compared to an endotracheal tube (ETT) with a stylet at an academic emergency department where operators are facile with the bougie.    

Source
The Pediatric Bougie for the First Tracheal Intubation Attempt in Critically Ill Children. Ann Emerg Med. 2023 Feb 23;S0196-0644(23)00030-6. doi: 10.1016/j.annemergmed.2023.01.016. Online ahead of print.

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Anatomic and physiologic features specific to children can lead to difficulty during airway management. A good working knowledge of specific considerations and airway adjuncts can ensure proper airway management when a critical situation presents itself.

Source
Management of the Difficult Airway. Pediatric Emergency Care. 2023 March;39(3):192-200. Doi: 10.1097/PEC.0000000000002916

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Routinely pausing chest compressions during cardiac arrest to intubate in the emergency department is not necessary; this is especially true if you have video laryngoscopy and a bougie.

Source
First Attempt Success with Continued versus Paused Chest Compressions During Cardiac Arrest in the Emergency Department. Resuscitation. 2023 Feb 8;109726. doi: 10.1016/j.resuscitation.2023.109726. Online ahead of print.

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Through the use of point-of-care ultrasound (POCUS) Emergency Medicine providers can optimize and tailor pre-intubation resuscitation in critically ill patients. See algorithm below.

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This randomized, non-inferiority trial found that remifentanil plus hypnotics were inferior to neuromuscular blocking agents plus hypnotics for rapid sequence intubation of patients at risk of aspiration in the operating room setting.

Source
Effect of Remifentanil vs Neuromuscular Blockers During Rapid Sequence Intubation on Successful Intubation Without Major Complications Among Patients at Risk of Aspiration: A Randomized Clinical Trial. JAMA. 2023 Jan 3;329(1):28-38. doi: 10.1001/jama.2022.23550.

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In patients presenting with angioedema, history of hypertension, shortness of breath, drooling, and anterior tongue or pharyngeal swelling were risk factors predicting eventual need for intubation.

Source
Clinical predictors of endotracheal intubation in patients presenting to the emergency department with angioedema. Am J Emerg Med. 2023 Jan;63:44-49. doi: 10.1016/j.ajem.2022.10.017. Epub 2022 Oct 19.

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Anesthesia residents with little experience in fiber-optic intubation achieved competency faster when trained with a high-fidelity versus low-fidelity model.

Source
Achieving Competency in Fiber-Optic Intubation Among Resident Physicians After Higher- Versus Lower-Fidelity Task Training: A Randomized Controlled Study. Anesth Analg. 2022 Nov 29. doi: 10.1213/ANE.0000000000006283. Online ahead of print.