SAEM PULSE | JULY-AUGUST 2022
CRITICAL CARE
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Identifying and Correcting the Performance Errors of Video Laryngoscopy: The Next Step in Emergency Airway Education By Ryan N Barnicle, MD, MSEd; Alexander Bracey, MD; and Scott Weingart, MD on behalf of the SAEM Critical Care Interest Group Endotracheal intubation (ETI) is one of the most performed high-risk procedures in emergency medicine. For this reason, the Accreditation Council for Graduate Medical Education (ACGME) has set an Emergency Medicine Defined Key Index Procedure Minimum of 35 intubations that must be
performed by the time of graduation. Additionally, the ACGME allows for up to 30% of these required procedures to be performed in a simulation environment. Certainly, many residents successfully perform more intubations while training, but this minimum number should seem shockingly low for such a critical skill.
Given the limited time constraints of residency training, it is necessary to explore how to augment exposure to laryngoscopy and maximize that educational impact. It is unclear whether the individual opportunities to perform endotracheal