Aligning airway management strategy with resuscitation priorities for out-of-hospital cardiac arrest

Nicholas E. Burjek, Katharine M. Burns, Narasimhan Jagannathan


Out-of-hospital cardiac arrest (OHCA) is a common and deadly event, occurring more than 350,000 times per year in the United States, with less than 10% of patients surviving to hospital discharge (1). The optimal airway management strategy for these patients remains unknown. Endotracheal intubation (ETI), supraglottic airway (SGA) placement, and bag mask ventilation (BMV) are common initial approaches, and are all mentioned as options in the most recent Advanced Cardiovascular Life Support (ACLS) guidelines (2).