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Results showed faster intubation with a novel laryngoscope using a gum elastic bougie versus Macintosh with a gum elastic bougie in novices and intermediates, while bougie-based methods increased time in other comparisons. Seldinger technique training was emphasized as an important reliability skill for endotracheal 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[https://doi.org/10.1155/emmi/9940852](https://doi.org/10.1155/emmi/9940852)  \nResearch Article  \nProcedural Training in Acute Care: A Prospective Study of Learning Intubation Highlighting a Novel Method  \nAustin Milton , 1 Rusha Patel ,2 Lurdes Queimado,2 Price Sonkarley,2 Edward Kosik,3 Marvin Williams,4 Michael Anderson,5 Alexis Patsias,2 Michael Clampitt,2 Rachel Hardy,6 and Nilesh R. Vasan2  \n1 Department of Internal Medicine, University of Utah Health, Salt Lake City, Utah, USA  \n2 Department of Otolaryngology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA  \n3 Department of Anesthesiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA 4 Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA 5 Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA 6 College of Osteopathic Medicine, Oklahoma State University, Tulsa, Oklahoma, USA  \nCorrespondence should be addressed to Rusha Patel; [rusha-patel@ouhsc.edu](rusha-patel@ouhsc.edu)  \nReceived 18 January 2025; Revised 31 October 2025; Accepted 7 November 2025  \nAcademic Editor: Maria Fortofoiu  \nCopyright © 2026 Austin Milton et al. Emergency Medicine International published by John Wiley & Sons Ltd. Tis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \nStudy Hypothesis: Te researchers compared average intubation times between four diferent devices and hypothesized that a novel laryngoscope based on an enhancement of the rigid anterior commissure laryngoscope would produce faster times tointubation compared to a Macintosh blade with a bougie among inexperienced users on the difcult airway simulation.  \nMethods: Participants were stratifed into novice, intermediate, and advanced skill levels. Each group frst performed intubationon a manikin airway without modifcations (“easy” airway)—using each of four devices (novel laryngoscope, Macintosh alone, Macintosh with bougie, and GlideScope) in random order—followed by the same technique on a manikin with modifcations to mimic a “difcult” airway. Devices requiring the use of a bougie utilize a Seldinger technique. Te primary outcome measure was the time taken to infate the manikin’s lungs with the bag ventilator.  \nResults: Ninety-eight participants were recruited and grouped according to their self-reported experience level: 41 novices, 39 intermediate, and 18 experts. Te novel laryngoscope with gum elastic bougie (GEB) led to quicker intubation times (mean 32.0 s) compared with the Macintosh with GEB (mean 37.5 s) among the novice and intermediate groups on the difcult airway (p \u003C 0.05) . Te methods that utilized a bougie (Macintosh blade with a GEB and Novel Laryngoscope with GEB) led to slower intubation times than the methods not utilizing a bougie (Macintosh blade and GlideScope) .  \nConclusions: In summary, the Seldinger technique is an important skill for those who perform endotracheal intubations (ETIs), even infrequently or in nonideal settings. Te novel laryngoscope may be a helpful option to attain ETI with the reliability of the Seldinger technique and a consistently short ETI interval.  \nKeywords: airway management; education; endotracheal intubation; simulation training  \n1. Introduction  \nIntubation is a life-saving skill that can be difcult to learn [1, 2] and retain [3, 4] . Conventional intubation methods include the use of a Macintosh, Miller, or video-assisted laryngoscope—each with its own limitations. All three can  \nbe used with or without the assistance of a bougie or stylet. It has been shown that the use of a bougie (tracheal introducer) compared with an endotracheal tube (ETT) and stylet (malle","cbCaiaF36pZlK9Tr","https://ap.wps.com/l/cbCaiaF36pZlK9Tr","pdf",807553,"English","# Introduction\n# Methods\n# Results\n# Conclusions\n# Keywords","[{\"question\":\"How were participants grouped in the study?\",\"answer\":\"Participants were stratified by self-reported experience into novice, intermediate, and advanced skill levels.\"},{\"question\":\"What was the primary outcome measure?\",\"answer\":\"The primary outcome was the time required to inflate the manikin’s lungs using a bag ventilator after intubation.\"},{\"question\":\"Which device approach performed best on the difficult airway?\",\"answer\":\"Among novices and intermediates on the difficult airway, the novel laryngoscope combined with a gum elastic bougie produced faster intubation times than the Macintosh blade with a gum elastic bougie.\"}]","Procedural Training in Acute Care - A Prospective Study of Learning Intubation Highlighting a Novel Method | PDF",1790685137,25]