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Medicine Grand Rounds - The Evolving Role for Extraglottic Airway Devices Outside the O.R.

Dr. Braude, a self-proclaimed advocate for extraglottic airway devices (EGD), addresses many of the reasons that these devices are not used more frequently in emergent situations outside of the operating room. Recognizing that endotracheal intubation remains the gold standard in ventilation, it is important to remember that it is a technically difficult and time consuming procedure, especially in critical and uncontrolled environments. EGDs can be placed quickly, protect against aspiration, have good seal pressure to ensure adequate ventilation, and can be used with mechanical ventilation until it is safe to exchange for endotracheal intubation.

Activity Details

Start Date:  November 15, 2019
End Date:  November 15, 2021

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording. View the entire presentation.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

Learning Outcome

Participants will be able to define and describe Rapid Sequence Airway, the role epiglottic devices have in cardiac arrest, and explain the critical steps in assessing the function and potential for aspiration protection with extraglottic airways.

  • Darren A. Braude, MD, EMT-P
    Chief, Division of Prehospital, Austere and Disaster Medicine
    Professor of Emergency Medicine, EMS and Anesthesiology
    The University of New Mexico Health Sciences Center

    About our presenter:
    Dr. Darren Braude has maintained his EMS paramedic certification continuously since 1991. He attended Colgate University, New York Medical College and completed his residency in Emergency Medicine at UCSF-Fresno. He worked for the Himalayan Rescue Association in Nepal before settling in at the University of New Mexico in Albuquerque in 2000.  He is currently the Chief of the Division of Prehospital, Austere and Disaster Medicine, Medical Director of the UNM EMS Academy and several EMS agencies, a field response physician and a Flight Physician with the UNM flight program, Lifeguard Air Emergency Services.

    His academic interests include, but are not limited to, airway management, cervical spine immobilization and antiemetic agents.

Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for The Evolving Role for Extraglottic Airway Devices Outside the O.R. (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Allurion. 

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
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