GlideScope Versus Direct Laryngoscope for Emergency Intubation

On admission to the emergency department following traumatic injury, many patients require
placement of an artificial airway to support their breathing, provide oxygen and protect
their airway. This procedure is accomplished through a number of different techniques and few
studies have compared these techniques in order to establish the best method. We will compare
an older technique using a metal handle and blade that allows for direct visualization of the
vocal cords (direct laryngoscopy) to a newer technique that employs a fiberoptic bundle
imbedded in a handle that allows indirect visualization of the vocal cords during placement
of the artificial airway. The newer technique has the theoretical advantage of being more
useful in patients with abnormal airways which are frequently encountered in trauma patients.
Since both techniques are currently employed routinely in our institution, we will randomize
all trauma admission to have an initial attempt with one of the two techniques in order to
perform a randomized, unblinded trial.

Inclusion Criteria:

- require emergency intubation

Exclusion Criteria:

- age < 18

- require surgical airway on initial assessment

- have known or strongly suspected spinal cord injury