Best of 2025: Prehospital Airway Management — Oxygenation, Intubation & SGAs Explained скачать в хорошем качестве

Best of 2025: Prehospital Airway Management — Oxygenation, Intubation & SGAs Explained

In this Best of 2025 episode of The Inflection Point, we revisit one of the most important and evolving topics in prehospital medicine: airway management. This conversation focuses on why oxygenation—not intubation—is the primary determinant of outcomes in critically ill and brain-injured patients. Drawing from systematic reviews, airway trials, and frontline experience, we explore when endotracheal intubation improves outcomes, when supraglottic airways (SGAs) are the better first-line option, and—critically—when intubation should be avoided altogether. Key themes include: Oxygenation vs intubation in traumatic brain injury Recognizing hypoxia, hypercarbia, and hypotension as secondary brain insults First-pass success and its impact on neurological outcomes SGAs vs ETTs in cardiac arrest and pediatric patients Airway decision-making based on patient physiology, transport time, and resources Why intubation location matters (on scene vs parked ambulance vs transport) Rather than a prescriptive algorithm, this episode emphasizes clinical judgment, context-aware decision-making, and evidence-informed practice—the hallmarks of high-quality prehospital care. If you find this work valuable, the best way to support the podcast is to subscribe, share the episode, and pass it along to someone who would benefit. Timestamps 00:00 Oxygenation vs Intubation: Why It Matters 00:56 When Not to Intubate: Key Clinical Signals 01:15 SGAs vs ETTs: Evidence, Outcomes, and Use Cases 02:51 Where You Intubate Matters: Scene vs Ambulance 03:55 Supporting the Podcast & Acknowledgements 04:36 Disclaimer & Professional Boundaries Disclaimer: This podcast is intended for educational and informational purposes only. The views expressed are those of the hosts and guests and do not constitute medical advice, clinical direction, or instruction. Content discussed may not reflect current local medical directives, protocols, or scope of practice. Listeners are responsible for practicing within their own regulated scope, institutional policies, and medical oversight. Clinical decisions should always be made in accordance with local guidelines, medical direction, and individual patient circumstances. This podcast is separate from our professional roles, employers, and affiliated organizations. No content should be interpreted as representing the positions, policies, or endorsements of any ambulance service, hospital, academic institution, regulator, or governing body. About the Podcast (Add After Disclaimer) About The Inflection Point The Inflection Point is a Canadian paramedic podcast focused on evidence-informed practice, system design, and human performance in prehospital care. Hosted by Ryan Cichowski and Jakob Rodger, both experienced paramedics and educators, the show explores how clinical reasoning, leadership, research, and real-world constraints intersect to shape better outcomes for patients and providers. Each episode features thoughtful conversations with clinicians, researchers, and system leaders, emphasizing how experts think, decide, adapt, and refine their practice under pressure—not just what tools they use.