Dear EAMS community,
For a decade a manuscript looking at the impact of using a parachute for jumping out of a plane has been used to show the limitations of evidence-based medicine (Smith, G, Pell, J (2003) BMJ 327, 7429). Recently, a group of researches took this topic to the next level and performed a randomized, controlled trial to examine the impact of using a parachute vs. a backpack when jumping from aircraft. What has this to do with airway management? Please read this manuscript carefully! It draws some critical conclusions on how randomized trials need to be performed in order to address the clinical question or problem that counts. After reading this manuscript, you will never be reading an airway related article in the same way.
Enjoy this month's manuscript.
Robert W Yeh, Linda R Valsdottir, Michael W Yeh, Changyu Shen, Daniel B Kramer, Jordan B Strom, Eric A Secemsky, Joanne L Healy, Robert M Domeier, Dhruv S Kazi, Brahmajee K Nallamothu4 On behalf of the PARACHUTE Investigators: Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial, BMJ 2018;363:k5094