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Am J Emerg Med. 2018 Dec;36(12):2336.e3-2336.e4. doi: 10.1016/j.ajem.2018.08.059. Epub 2018 Aug 23.

Suction tubing reversal as a dormant failure during airway management.

Author information

1
HSC Level 4, Room 080, Department of Emergency Medicine, Stony Brook University Medical Center, Stony Brook, NY, United States of America. Electronic address: kartik.shah@atriumhealth.org.
2
HSC Level 4, Room 080, Division of Emergency Critical Care, Department of Emergency Medicine, Stony Brook University Medical Center, Stony Brook, NY, United States of America.

Abstract

An intubation in the Emergency Department (ED) would never occur without suction set up and tested. However, due to the complexity and inherent failure potential of these devices, even checked suction devices can fail at a crucial juncture. We present a case report of suction that worked properly during pre-intubation preparation, but critically failed due to inappropriate set up. This situation is an example of a dangerous dormant failure that can easily reoccur in any ED.

KEYWORDS:

Airway management; Patient safety

PMID:
30177268
DOI:
10.1016/j.ajem.2018.08.059

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