List Archives

Tue Aug 29 13:56:33 BST 2006

Dave,

Tracheal tube introducers are used quite commonly by both ground EMS programs and air medical transport programs. Their utility is well proven by 60 years of use in Europe, and are particularly well suited to Cormack & Lehane grade III and poor grade II views. They are an excellent device for optimizing chances of first attempt success in both unpredicted and predicted difficult intubation. We use them in our regional resource air medical transport service regularly and many of our ground ALS team customers have them in their airway management armamentariums.

Scott Hax
Lebanon, NH 

 Use of gum elastic bougie for prehospital difficult intubation.    Jabre P - Am J Emerg Med - 01-JUL- 2005;   23(4): 552-5   

 Use of the endotracheal tube introducer as an adjunct for oral tracheal intubation in the prehospital setting.
Heegaard WG - Air Med J - 01-JAN-2003; 22(1): 28-31
Paramedic use of the endotracheal tube introducer in a difficult airway model.
Phelan MP - Prehosp Emerg Care - 01-APR-2003; 7(2): 244-6
Use of the endotracheal bougie introducer for difficult intubations.
Phelan MP - Am J Emerg Med - 01-OCT-2004; 22(6): 479-82

-----Original Message-----
From: fpcems at yahoo.com
To: trauma-list at trauma.org
Sent: Tue, 29 Aug 2006 8:28 AM
Subject: Flextip ETT introducer (boujie)

Hey all, 

  I was wondering if there is any in/pre-hospital providers that use the boujie 
(sp) for suspected difficult intubations? I did some recent training with it, 
teaching in the paramedic program at Northeastern Univ in MA, Im under the 
assumption that in MA its only approved for Umass medical center EMS and Boston 
Medflight. Im thinking about doing a research project to see the use of it as a 
back up device, when direct visualization is difficult or impossible, or the use 
of it on a c-spine pt that needs intubation? Any thoughts?

  dave sullivan BA NREMT-P

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Flextip ETT introducer (boujie)