Routine Use of a Bougie Improves First-Attempt Intubation Success in the Out-of-Hospital Setting.

Study Objective: The bougie is typically treated as a rescue device for difficult airways. We evaluate whether first-attempt success rate during paramedic intubation in the out-of-hospital setting changed with routine use of a bougie.

Methods: A prospective, observational, pre-post study design was used to compare first-attempt success rate during out-of-hospital intubation with direct laryngoscopy for patients intubated 18 months before and 18 months after a protocol change that directed the use of the bougie on the first intubation attempt.

Targeted Temperature Management at 33 Versus 36 Degrees: A Retrospective Cohort Study.

Objectives: To determine the association between targeted temperature management goal temperature of 33°C versus 36°C and neurologic outcome after out-of-hospital cardiac arrest.

Design: This was a retrospective, before-and-after, cohort study.

Setting: Urban, academic, level 1 trauma center from 2010 to 2017.