Home

Emergency intubation video

Endotracheal intubation is a skill that is learnt through practice under expert supervision. This video lesson prepares you for these practice sessions, with.. The video Emergency Intubation in Covid-19 is intended for health care personnel involved in performing emergency endotracheal intubation in patients with suspected or proven infection with. Background: Up-to-date technology has been increasingly useful for learning resuscitation skills in the emergency and resuscitation settings. It improves the learning curve of the learners and helps them to avoid making mistakes on real patients. This study aimed to evaluate the educational efficiency for tracheal intubation by comparing Macintosh (direct) laryngoscope (DL) and video. Background: Emergency intubation carries a higher risk of complications than elective airway management. Video laryngoscopy (VL) could potentially improve patient safety. The goal of this study was to determine whether VL is superior to direct laryngoscopy for the emergency intubation of adults in the inpatient setting

Endotracheal Intubation - YouTub

Video Laryngoscopy or Direct Laryngoscopy for Trainees. According to a 2012 meta-analysis difficult and failed intubations in the operating room occur 1.8 - 5.8% and 0.13 - 0.30% of the time respectively. Emergent intubation, outside of this environment (i.e emergency department, ICU, and medical ward) is typically associated with a much. Emergency Intubation Procedure and Equipment. With the growth in using video assistance for the procedure the success rates have increased, lower number of attempts are needed, and there has been an increase in use of telemedicine tools to aid in establishing the airway. Respiratory therapists receive training to assist or to perform. Video laryngoscopy seems to reduce the number of intubation attempts and the rate of esophageal intubation, so its use in emergency airway management could potentially increase patient safety Direct laryngoscopy (DL) has historically been the standard method of performing endotracheal intubation. 1 However, over the past 20‐years, video laryngoscopy (VL) has been used with increasing frequency in a variety of clinical settings, including the out‐of‐hospital, emergency department (ED), intensive care unit (ICU), and operating.

Emergency Intubation in Covid-19 NEJ

Video Assisted Laryngoscope Facilitates Intubation Skill

Tracheal intubation (TI) remains the golden, but challenging and rare (2-12%) standard of care for securing the airway and ensuring appropriate ventilation in the prehospital emergency setting ().Lacking routine (even < 12 intubations per physician and year) and the specific prehospital setting may contribute to difficult TIs, with the literature documenting up to 50% as being impossible () The core of these complete systems is the C-MAC® Monitor, to which all intubation endoscopes and all C-MAC® video laryngoscopes can be connected. Completing the product range are the flexible Intubation Video Endoscopes (FIVE), the FIVE S single-use endoscopes, and the C-MAC S video laryngoscopes Intubation Video Endoscope Market Research Report with Size, Share, Value, CAGR, Outlook, Analysis, Latest Updates, Data, and News 2021-2028 Corporation Information 6.6.2 WEINMANN Emergency. UK guidelines recommend videolaryngoscopy as the first line option for emergency intubation in high risk patients . Intubating bougie. Since the description of RSI the use of an intubating bougie has become standard UK practice to optimise the first attempt of emergency tracheal intubation during both direct and video laryngoscopy [19, 72, 73] Objective. We aimed to assess differences in (1) first‐pass intubation success, (2) frequency of a hypoxic event, and (3) time from decision to intubate to successful intubation among direct laryngoscopy (DL) versus video laryngoscopy (VL) intubations in emergency department (ED) patients with traumatic injuries

Video Versus Direct Laryngoscopy for Inpatient Emergency

  1. Objective Video laryngoscopes are used for managing difficult airways. This study compared three video laryngoscopes' (Pentax-Airway Scope [Pentax], King Vision[King] and McGrath MAC [McGrath]) performances with the Macintosh direct laryngoscope (Macintosh) as emergency tracheal intubations (TIs) reference. Design Retrospective cohort study. Setting The emergency department (ED) and the.
  2. Intubation is a common procedure doctors use during surgery or in a medical emergency to help a person breathe. In this article, learn about the types, side effects, and recovery
  3. Intubations were performed by anesthesiologists or emergency medical services physicians using either a McGrath Mac video laryngoscope or direct laryngoscope with Macintosh-style blades and rapid sequence intubation in most cases. The overall success rate was 98.5% with DL and 98.1% with VL. First-pass success rates were 83% and 79%, respectively
Intubation training manikin - SmartMan - manual

Video Laryngoscopy or Direct Laryngoscopy for Trainees

In the emergency department, Li et al. 20observed a highly significant decrease in esophageal intubation when patients received NMB (3% vs. 18%). Given that 45% of patients in the current study were identified as requiring emergent intubation as the result of cardiac arrest, the data suggest that many patients who arrested before, during, or. The external video monitor may act as a means for assistance by present staff, heighten teaching ability, and improve intubation outcomes. We conducted a retrospective review consisting of 436 patients requiring emergency intubation outside the operating room to evaluate the application of a C-MAC video laryngoscope for emergency intubation(s) A comparison of the GlideScope video laryngoscope to the C-MAC video laryngoscope for intubation in the emergency department. Ann Emerg Med 2013; 61:414. Jones PM, Turkstra TP, Armstrong KP, et al. Effect of stylet angulation and endotracheal tube camber on time to intubation with the GlideScope Tracheal intubation practice and maintaining skill competency: survey of pediatric emergency department medical directors. Pediatr Emerg Care 2008; 24:294. Sagarin MJ, Chiang V, Sakles JC, et al. Rapid sequence intubation for pediatric emergency airway management

Emergency Intubation R

  1. Video laryngoscopy may improve overall and first-pass success rates for ET intubation by paramedics. Feb 14, 2018. Medic 14 and Engine 27 respond to a report of breathing difficulty at a private.
  2. Emergency medicine owns the acute airway. A 2011 paper by Walls et al from the National Emergency Airway Registry showed that 87 percent of intubations were performed by emergency physicians. In more than two-thirds of cases, rapid sequence intubation (RSI) was utilized. There have been a number of advances in the last few years
  3. Video vs. Direct Larygoscopy. Jarvis JL, McClure SF, Johns D. EMS intubation improves with King Vision video laryngoscopy. Prehosp Emerg Care. 2015;19(4):482—489.. Williamson County EMS, a.

vital functions of emergency patients frequently force the emergency physician to act swiftly. As difficult intubation is often associated with difficult laryngoscopy, video laryngoscopes prove useful for equipment optimization. To ensure first pass success, however, the video laryngoscope should be used in th In emergency medicine, rapid sequence intubation (RSI) comes into play when there is neither the time nor the luxury of adequately prepping a patient whose airway and breathing are compromised. This article will not be a complete or exhaustive resource for this topic, but it can serve as a starting point for medical students Driver B, Prekkar M, Klein L, et al. Effect of use of a bougie vs endotracheal tube and stylet on first-attempt intubation success among patients with difficult airways undergoing emergency intubation a randomized clinical trial. JAMA. 2018;319(21):2179-2189. doi: 10.1001/jama.2018.6496 Overview Endotracheal intubation using rapid sequence intubation (RSI) is the cornerstone of emergency airway management. Nursing Points General Indications Who needs to be there? What do we need? What do we need after? What is the nurses role? Assessment Indications Airway protection Respiratory failure Shock Intracranial Hypertension Reduce the work of breathing Who needs to [

Video laryngoscopy is associated with improved first‐pass

CPT® provides a single code to report endotracheal intubation—31500 Intubation, endotracheal, emergency procedure—but application of this code isn't always straightforward.Per CPT® and National Correct Coding Initiative (NCCI) guidelines, 31500 describes an emergency endotracheal intubation and should not be reported for elective endotracheal intubation Use of video laryngoscopy for emergency endotracheal intubation in adult patients is associated with reduced oesophageal intubation over direct laryngoscopy. However, no benefit was found in terms of overall intubation success. Our Conclusions. We agree with the author's conclusions The primary goal of this review was to determine the feasibility of VAL-TLA tracheal intubation in the emergent non-OR setting. Following institutional review board approval with a waiver of consent for retrospective review, the Hartford Hospital emergency intubation database of non-OR airway encounters (2006-2017; N=10,379) was examined

Improvement in glottic visualisation by using the C-MAC PM video laryngoscope as a first-line device for out-of-hospital emergency tracheal intubation: An observational study. Hossfeld B , Frey K , Doerges V , Lampl L , Helm M. Eur J Anaesthesiol, 32 (6):425-431, 01 Jun 2015 First, in an emergency setting, patients may not be prepared for intubation. As a result, malposition, oral secretion, or bleeding may obscure the lens of the video laryngoscope, thus obstructing the glottic view. A similar situation may have occurred when fiber optic laryngoscopes were used for intubation in emergency settings Video Laryngoscopy Blind Nasal Intubation Supraglottic Devices Medications Sedatives and Anesthetics Neuromuscular Blocking Agents Multiple Attempts at Intubation Conclusions Performing emergency endotracheal intubation necessarily means doing so under less than ideal conditions. Rates of first-time success will be lower than endotracheal. Laryngoscopy is a critical skill for the successful resuscitation of ill and injured ED patients. Direct laryngoscopy (DL) has been the historical standard for emergency airway management; however, video laryngoscopy (VL) has been shown to improve glottic view and first-attempt success compared to DL in emergency department (ED) patients and its use in preference to DL has steadily increased.

BACKGROUND: Emergency intubation carries a higher risk of complications than elective airway management. Video laryngoscopy (VL) could potentially improve patient safety. The goal of this study was to determine whether VL is superior to direct laryngoscopy for the emergency intubation of adults in the inpatient setting. METHODS: Pertinent studies were retrieved by a systematic literature. Authors affiliated with the University of Minnesota randomized 757 patients requiring intubation in one emergency department to be intubated with or without a bougie on the first attempt. All patients were intubated by video-augmented direct laryngoscopy with a Macintosh (slightly curved) blade, by either an attending or a senior emergency. The intubation course for 2 patients prompted a more invasive approach. The first patient had failed attempts at fiberoptic nasal intubation, as well as direct and video laryngoscopy with a C-MAC device (Karl Storz, El Segundo, CA), before retrograde intubation was completed successfully Endotracheal intubation in the ICU is a challenging procedure and is frequently associated with life-threatening complications. The aim of this study was to investigate the effect of the C-MAC® video laryngoscope on laryngeal view and intubation success compared with direct laryngoscopy. In a single-center, prospective, comparative before-after study in an anesthetist-lead surgical ICU of a. Schmitz ED, Park K. First-Attempt Endotracheal Intubation Success Rate Using A Telescoping Steel Bougie. Southwest J Pulm Crit Care. 2021;22(1):36-40. Schmitz ED, Park K. Emergency Intubation of a Critically Ill Patient with a Difficult Airway and Avoidance of Cricothyrotomy Using the AIROD®. J of Emergency Medical Services. Schmitz ED

Video laryngoscopy has become a common practice for tracheal intubations. However, information on its efficacy in emergency intubations is minimal. The external video monitor may act as a means for assistance by present staff, heighten teaching ability, and improve intubation outcomes. We conducted a retrospective review consisting of 436 patients requiring emergency intubation outside the. We assessed for the incidence of emergency intubation and difficult intubation on post-intubation assessment. We defined a difficult airway as an intubation requiring more than two attempts of direct laryngoscopy by a senior anesthesia resident (PGY-3 and above) or attending and/or the use of adjunctive airway equipment (e.g., video.

Emergency Airway Management Part 3: Intubation - the

The Need: Intubating these patients is dangerous for staff

ACEP Now offers real-time clinical news, news from the American College of Emergency Physicians, and news on practice trends and health care reform for the emergency medicine physician. ACEP Now is an official publication of the American College of Emergency Physicians A comparison of video laryngoscopy to direct laryngoscopy for the emergency intubation of trauma patients. World J Surg . 2015;39(3):782-788. PubMed Google Scholar Crossre The emergency physician will determine when it's appropriate to utilize either adjunct and will instruct emergency personnel and staff on preparation and adjunct size selection. Video laryngoscopy (including Glidescope intubation) This laryngoscopy procedure utilizes a digital laryngoscope. Each device provides emergency personnel with in.

Rapid sequence intubation (RSI) provides definitive airway management for severely ill and injured patients presenting to the pediatric emergency department (PED). This procedure includes sedating and paralyzing a child to protect the airway and manage respiratory distress. When done correctly, RSI in the PED saves lives Background . Tracheal intubation still represents the gold standard in securing the airway of unconscious patients in the prehospital setting. Especially in cases of restricted access to the patient, video laryngoscopy became more and more relevant. Objectives . The aim of the study was to evaluate the performance and intubation success of four different video laryngoscopes, one optical. The nasopharyngeal airway is a softer, longer tube of plastic that is inserted into the nare, extending into the posterior pharynx. Clinicians must lubricate the NPA prior to insertion with a water soluble lubricant or anesthetic jelly. Unlike an OPA, a NPA may be used on a conscious or semi-conscious patient Introduction. Factors that make tracheal intubation (TI) difficult include cervical spine rigidity, limited mouth opening, obesity, micrognathia, and tongue swelling [1,2].In TIs performed in emergency outpatient or prehospital care, the presence of liquids or semisolid foreign materials, such as saliva, vomit, or blood in the upper airway increases the difficulty [3-6]

Endotracheal intubation using rapid sequence intubation (RSI) is the cornerstone of emergency airway management. [2, 3] The decision to intubate is sometimes difficult. Clinical experience is required to recognize signs of impending respiratory failure. Patients who require intubation have at least one of the following five indications Background. Tracheal intubation (TI) performed in the emergency setting is more challenging than when attempted in an operating room due to patient, operator and environment-associated factors. 1-3 Consequently, the success rate is lower, the time needed to undertake the TI is longer, and the complication rate is higher. 1 2 4 5 Video laryngoscopes (VLs) are increasingly used to increase the. Your best practices for both suction and intubation are to think of them as inseparable: Never attempt intubation without the portable suction unit and always have suction at the ready during any respiratory emergency. 2011, Pollak, A., Ed. Critical Care Transport, American College of Emergency Physicians, Jones and Bartlett The next case, of a patient with severe head injury who presents with a seizure, is the fodder for a detailed discussion of Rapid Sequence Intubation (RSI). Tips on preparation, pre-oxygenation and positioning are discussed, and some great debates over pre-treatment medications, induction agents and paralytic agents ensues Driver BE, Prekker ME, Klein LR, Reardon RF, Miner JR, Fagerstrom ET, et al. Effect of use of a bougie vs endotracheal tube and stylet on first-attempt intubation success among patients with difficult airways undergoing emergency intubation: a randomized clinical trial. JAMA. 2018;319:2179-89

Emergency airway management in COVID-19 context. PIC Endorsed. This guideline applies to all patients requiring intubation in ED, and all patients with respiratory failure in paediatric and neonatal ICU requiring airway management. It must be read in conjunction with the Emergency airway management CPG Video laryngoscopy use; Sedative use ALONE, without paralytic [Foglia, 2019] is NOT protective against adverse events. is associated with increase odds of severe oxygenation desaturations. Paralytic use, when appropriate, is an important component of a procedural premedication regimen to improve the safety of neonatal intubation. [Foglia.

REBEL Cast Ep87: Video Laryngoscopy - REBEL EM - Emergency

Emergency Procedures Masterclass (Part 1) Medmaster

  1. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2019-04-01) . The HEAVEN criteria predict laryngoscopic view and intubation success for both direct and video laryngoscopy: a cohort analysi
  2. imum of 3
  3. ed by changes in accelerometry. 20 anesthesiology providers from our.
  4. g emergency endotracheal intubation in patients with suspected or proven infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes the respiratory illness coronavirus disease 2019 (Covid-19)
  5. Intubation procedure: Video. By Sulav Shrestha At 5:52 AM 0. Indications: 1. Maintenance of a patent airway: When an awkward intraoperative position is required (eg. lateral decubitus, prone, sitting) When the airway is inaccessible (eg. during head and neck operations) When difficulties with the face mask are anticipated (eg. in grossly obese.
  6. This series of videos was created by Steve Carleton, MD for use in his webinar Low Cost Lifesavers: Airway Management on a Budget. These videos were created without narration; you can hear Dr. Carleton's narration in the recorded webinar

by Qais Abuagla Introduction Airway management is one of the most important skills for an Emergency Department practitioner to master because failure to secure an airway can lead to mortality or morbidity. Therefore, all junior doctors and trainees should be aware of this procedure in the early of their career. RSI is an advanced airway Continue reading Rapid Sequence Intubation (RSI Emergency Intubation for Impending Respiratory Failure. Key Points. Medical personnel must wear aerosol generating procedure PPE before any airway management procedure. Observe airborne, droplet and contact transmission precautions. Must don PPE properly and optimally for full protection with supervision. Do not rush Our endotracheal intubation training is a component of our live Hospitalist and Emergency Procedures CME course which teaches clinicians how to perform the 20 most essential procedures needed to work in the ER, ICU, and hospital wards. CLICK HERE to find out more about our premier live Hospitalist and Emergency Procedures CME course CHAPTER 3 THE EMERGENCY AIRWAY ALGORITHMS 25 THE MAIN AIRWAY ALGORITHM The main emergency airway algorithm is shown in Figure 3-2. It begins after the decision to intubate and ends when the airway is secured, whether intubation is achieved directly or through one of the other algorithms Rapid Sequence Intubation (RSI) OVERVIEW Rapid sequence intubation (RSI) is an airway management technique that produces inducing immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent) and is the fastest and most effective means of controlling the emergency airway

Rapid Sequence Intubation: Medications, dosages, and recommendations !! ! Timeline'of'Rapid'Sequence'Intubation! S!!!!! 1. Preparation!-!Assemble!all. Positioning the head and neck for intubation in the sniffing position can make intubation easy, or extremely hard. Many years ago our operating room administration decided that the bath towels we were using to position the head for intubation were a potential danger for shedding lint

Historically, nasal intubation has also been used when curatives were unavailable or prohibited (e.g. in the out-of-hospital setting, in some emergency departments) and for patients with tachypnoea, hyperpnoea and forced sitting position (e.g. those with heart failure), who may gradually advance the tube into the airway Oral Intubation with Sedation. The avoidance of NMB actually creates a more hazardous situation for the patient and this practice should no longer be considered an appropriate method for emergency department ET intubation. RM Walls, page 8, Chapter 1, Rosen; 9 Oral Intubation with SedationUse for the Anticipated Difficult Airway. if time permit There has been a relatively consistent lack of care for the video intubation equipment. I have walked into 5 shifts in the past 2 months with a dirty blade sitting on top of the intubation cart (if you think I am talking about you, I am, but not just you so don't feel that bad). Each of these blades cost a few thousand dollars

Intubation and Mechanical Ventilation - YouTube

GlideScope video laryngoscopy versus direct laryngoscopy

Orotracheal (endotracheal) intubation, which inserts the tub through the mouth. This is the most common type of intubation. It is the preferred method, especially in emergency situations, because it is usually faster. After insertion, doctors can connect the intubation tube to a mechanical ventilator to do the work of breathing Expert Commentary. Tip for #1 - While 3-5 minutes of 100% oxygen is ideal to achieve denitrogenation, in an emergency 8 vital capacity breaths (maximal inhalation and exhalation) with a high FiO2 source is sufficient in a cooperative patient.. Tip for #2 - Airway edema is even worse in preeclamptic patients, and Mallampati scores acutely worsen DURING labor Intubation is the process of inserting a tube, called an endotracheal tube (ET), through the mouth and then into the airway. This is done so that a patient can be placed on a ventilator to assist with breathing during anesthesia, sedation, or severe illness. The tube is then connected to a ventilator, which pushes air into the lungs to deliver. Cadaver-Based Expert Instruction at Your Own Pace and On Your Own Time. Under the direction of Dr. Joan Kolodzik, a frontline emergency physician with a master's degree in human anatomy, the Cadaver-Based Emergency Procedures Course was designed to be a high-yield, focused educational experience Airway management and endotracheal intubation in the ED patient requires an approach for managing both the anticipated and unanticipated difficult airway. The first attempt at intubation with video laryngoscopy can fail in upwards of 30% of difficult airway emergency cases, and successful execution of a plan B approach, assumin

Merelman, BS, et al. Ketamine, a dissociative anesthetic, can be used to facilitate two alternatives to RSI to augment airway safety in these scenarios: delayed sequence intubation - the use of ketamine to allow airway preparation and preoxygenation in the agitated patient; and ketamine-only breathing intubation, in which ketamine is used without a paralytic to facilitate ETI as the patient. safety and success of emergency intubation compared with intubation facilitated by a sedative alone (4-7). However, the widespread adoption of video laryngoscopy, which may allow for less upper airway manipulation than traditional direct laryngoscopy, may make the ketamine-only approach safer than previously thought intubation emergency airways Find a variety of alternatives to direct endotracheal intubation with TheEMSStore's selection of intubation emergency airways. The esophageal combitube is a double lumen airway used for emergency or difficult intubation - whether in the esophagus or the trachea So I love awake intubation. I've done a ton of previous stuff on the topic of Awake Intubation.My friend, George Kovacs, introduced me to some new gear at one of the AirwayCam course. This changed the way I performed awake intubation-it also made it MUCH faster

Emergency Tracheal Intubation: Techniques and

Methods This was an open-label, prospective, randomized, controlled trial in an academic emergency department of patients undergoing emergency intubation with a plan of DL for the first attempt. Patients were randomly assigned in a 1:1 ratio to either DL or VL using a C-MAC device for the first intubation attempt The Global Intubation Video Endoscope Market provide market size, regional and country-level market size, market share, competitive Landscape, industry updates, growth factor and global market.. BACKGROUND: Direct laryngoscopy (DL) has long been the gold standard for tracheal intubation in emergency and trauma patients. Video laryngoscopy (VL) is increasingly used in many settings and the purpose of this study was to compare its effectiveness to direct laryngoscopy in trauma patients

Airway Trolley - Critical Care Airway ManagementCriticalFLOCAP CO2 Indicator | SunMed

The most common route of intubation in the emergency setting is orally, namely direct laryngoscopy, which will be referenced most commonly throughout this article. Other methods and devices used in RSI and artificial airways include video-assist methods (i.e., GlideScope and C-MAC) and surgical airways (surgical cricothyroidotomy, needle. ORAL INTUBATION WITHOUT DRUGS THE CRASH AIRWAY ARREST SITUATIONS ONLY PATIENT IS COMPLETELY UNCONSCIOUS, PULSELESS, UNRESPONSIVE AND APNIC 7. PRINCIPLES OF RSI RSI is the standard of care in emergency airway management for intubations not anticipated to be difficult

Video Analysis of Prehospital Emergency Intubations - Full

Front of Neck Access - Training video. DAS is pleased to share this video which demonstrates the recommended technique for surgical cricothyroidotomy. The video has been produced by the DAS Guidelines Implementation Group. Special thanks to Dr Helena Smith who produced, filmed and edited the video, Fauzia Mir, Marika Chandler, Kanika Dua and. A short-cut review of the literature was carried out to examine whether video laryngoscopy (VL) could improve first-pass success and reduce complication rates in ED patients requiring endotracheal intubation, when compared with direct laryngoscopy. Four papers were identified as suitable for inclusion using the reported search strategy. The author, date and country of publication, patient. Sakles JC, Mosier JM, Chiu S, et al.. Tracheal intubation in the emergency department: a comparison of Glidescope video laryngoscopy to direct laryngoscopy in 822 intubations. J Emer Med. Platts-Mills TF, Campagne D, Chinnock B, et al.. A comparison of Glidescope video laryngoscopy versus direct laryngoscopy intubation in the emergency department Tracheal intubation is the gold standard for securing the airway and adequate ventilation in a prehospital emergency setting during transport to a hospital and is currently performed using a video laryngoscope (VL) instead of a direct laryngoscope (DL) Objective To compare the effectiveness of the C-MAC® video laryngoscope (CMAC) to the direct laryngoscope (DL) when used to rescue a failed first attempt intubation in the emergency department (ED). Methods Data were prospectively collected on all patients intubated in an academic ED center over a five-year period from February 1, 2009 to.

See also. Resuscitation Emergency airway management in COVID -19 Intubation checklist. Key points. Specific measures to optimise physiology should be undertaken prior to every emergency intubation; Every emergency intubation should include early consideration of the need for help, clear team member role allocation, a clear plan for unsuccessful intubation, and strategies to help maintain. Airway management is a fundamental skill of emergency medicine (EM) practice, and suboptimal management leads to poor outcomes. Endotracheal intubation (ETI) is a procedure that is specifically taught in residency, but little is known how best to maintain proficiency in this skill throughout the practitioner's career

Intubation Kit with Fiber Optic Laryngoscopes | SunMedCricoid Cartilage - Definition and Function | BiologyChest Tube Insertion Kit - Common Cents EMS Supply

Discussion: An average twofold increase in the rate of tracheal intubation was observed after March 24, 2020, corresponding with an influx of COVID-19 positive cases. We observed adherence to society guidelines regarding performance of tracheal intubation by an expert laryngoscopist and the use of video laryngoscopy A training video and dissemination package were made available for other emergency departments to adopt. Survey results were overall positive, with 97.92% of participants feeling confident in their role in the intubation process, and many participants citing the usefulness of the multidisciplinary approach to the training Emergency clinicians should be prepared for the unique challenges posed by the anatomy and physiology of the pediatric airway, be familiar with the rapid assessment of the pediatric patient who requires intubation, be equipped with the standard and alternative sizes of pediatric airway devices, and have an organized approach to prepare for and. Tracheal intubation is a cocrnerstone of emergency airway management, creating a direct conduit to the trachea, allowing airway patency, aiding oxygenation and ventilation, and preventing aspiration. Intubation may also be needed to safely allow sedation or paralysis needed in critically ill patients requiring diagnostic or therapeutic. In a randomized crossover manikin study comparing intubation performance of Macintosh laryngoscope (ML), McCoy laryngoscope (MCL) and C-MAC D-Blade video laryngoscope (CMDB) by prehospital emergency health workers, Yildirim et al. [] show that the intubation success rate is significantly higher with the CMDB and MCL than with the ML, and intubation duration is significantly shorter with the.