Market Analysis of Video Laryngoscopy Equipment for the Role 1 Setting

INTRODUCTION

Airway compromise is the second leading cause of potentially preventable prehospital combat death. Endotracheal intubation (ETI) remains the most common role 1 airway intervention. Video laryngoscopy (VL) is superior to direct laryngoscopy (DL) for first-attempt intubation, especially in less-experienced providers and for trauma patients. The cost has been a major challenge in pushing VL technology far-forward; however, the cost of equipment continues to become more affordable. We conducted a market analysis of VL devices under $10,000 for possible options for role 1.

MATERIALS AND METHODS

We searched Google, PubMed, and the Food and Drug Administration database from August 2022 to January 2023 with a combination of several keywords to identify current VL market options under $10,000. After identifying relevant manufacturers, we then reviewed individual manufacturer or distributor websites for pricing data and system specifications. We noted several characteristics regarding VL device design for comparison. These include monitor features, size, modularity, system durability, battery life, and reusability. When necessary, we requested formal price quotes from respective companies.

RESULTS

We identified 17 VL options under $10,000 available for purchase, 14 of which were priced below $5,000 for individual units. Infium (n = 3) and Vimed Medical (n = 4) provided the largest number of unique models. VL options under $10,000 exist in both reusable and disposable modalities. These modalities included separate monitors as well as monitors attached to the VL handle. Disposable options, on a per-unit basis, cost less than reusable options.

CONCLUSIONS

Several VL options exist within our goal price point in both reusable and disposable options. Clinical studies assessing the technology performance of ETI and deliberate downselection are needed to identify the most cost-effective solution for role 1 dispersion.

Photoconductivity in bone and tendon

Ultraviolet light can be used to stimulate electrical current flow in bone and tendon. This stimulated photocurrent is directional. In tendon the photocurrent parallel to the fibrils is greater than the photocurrent perpendicular to the fibrils. In bone, the longitudinal photocurrent is less than the transverse photocurrent.

Coin value and perceived size: a longitudinal study

Decimalization of the Irish currency presented an opportunity to study the perceived size of coins as they were introduced or withdrawn and to examine the accentuation of differences between coins. Estimates were obtained of the sizes of 4 coins from 478 subjects in 3 groups tested at different times: just after decimalization, 2, or 3 yr. later. A newly introduced coin was significantly underestimated in size at first but came to be significantly overestimated later, while all familiar coins were always significantly overestimated. The amount of overestimation of a coin depended on its value, not its size, leading to an accentuation of the difference between any two coins if the larger coin was also the more valuable but sometimes to the opposite if the smaller coin were of higher value than the larger member of the pair.

Behavioural aspects of cigarette smoking in relation to arousal level

To test the hypothesis that cigarette smokers use smoking to control arousal level 160 habitual light and heavy cigarette smokers of both sexes smoked a standard cigarette and simulated smoking under conditions eliciting either low or high arousal. Under high arousal heavy smokers exhibited a significant reduction in rate of smoking but not in simulating smoking. From other evidence it was argued that, although this group may use smoking as a means of arousal control, it appears that smokers in general smoke at a faster rate when there is little else to do.