Intubation is a critical skill for every emergency medicine resident to learn. Although rates of failed airways are less than 1%1-3 and first-pass success in the emergency department (ED) exceeds 84%,4-7 the consequences of a difficult and failed airway can be catastrophic.8 In the ED environment, difficult intubations are not rare (2% to 14%1,9) and are more frequently encountered than in elective operative setting intubations, in which 85% of airway research arises.10 Even if an airway is eventually secured, adverse events increase significantly after one unsuccessful attempt.
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