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BioMed Research International
Volume 2015 (2015), Article ID 821302, 6 pages
Research Article

Impact of Video Laryngoscopy on Advanced Airway Management by Critical Care Transport Paramedics and Nurses Using the CMAC Pocket Monitor

1LifeFlight of Maine, 13 Main Street, Camden, ME 04843, USA
2Laurea University of Applied Sciences, Uudenmaankatu 22, 05800 Hyvinkää, Finland
3Brigham and Women’s Biostatistics Center, 5 Francis Street, Boston, MA 02115, USA

Received 19 December 2014; Revised 9 April 2015; Accepted 2 May 2015

Academic Editor: Athanasios Chalkias

Copyright © 2015 Bradley Boehringer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Accurate endotracheal intubation for patients in extremis or at risk of physiologic decompensation is the gold standard for emergency medicine. Field intubation is a complex process and time to intubation, number of attempts, and hypoxia have all been shown to correlate with increases in morbidity and mortality. Expanding laryngoscope technology which incorporates active video, in addition to direct laryngoscopy, offers providers improved and varied tools to employ in management of the advanced airway. Over a nine-year period a helicopter emergency medical services team, comprised of a flight paramedic and flight nurse, intended to intubate 790 patients. Comparative data analysis was performed and demonstrated that the introduction of the CMAC video laryngoscope improved nearly every measure of success in airway management. Overall intubation success increased from 94.9% to 99.0%, first pass success rates increased from 75.4% to 94.9%, combined first and second pass success rates increased from 89.2% to 97.4%, and mean number of intubation attempts decreased from 1.33 to 1.08.