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Letter to the editor| Volume 20, ISSUE 3, P303-304, April 2001

To the editor:

      We were dismayed and disappointed to read yet another paper in this journal from Dr. Davis et al. advocating the use of a unique instrument, the Bair Claw, and the so-called “rapid four-step technique” (RFST) for cricothyrotomy (
      • Davis D.P.
      • Bramwell K.J.
      • Hamilton R.S.
      • Chan T.C.
      • Vilke G.M.
      Safety and efficacy of the rapid four-step technique for cricothyrotomy using a Bair claw.
      ). In our letter to the editor regarding their previous publication on the topic, we tried to differentiate the emergency technique for cricothyrotomy as described in the manual of the Advanced Trauma Life Support course and the elective procedure which they incorrectly used as the comparison technique (
      • DiGiacomo J.C.
      • Angus L.D.G.
      • Gelfand B.J.
      • Shaftan G.W.
      Cricothyrotomy technique standard versus the rapid four step technique.
      ). This is akin to confusing elective thoracotomy in the operating room for intrinsic pulmonary pathology to an Emergency Department resuscitative thoracotomy. In reading the current article, it is clear the authors still do not see the difference.
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