The infusion after the bolus: a quality improvement programme to support emergency department airway governance in Ireland

The authors aimed to develop and evaluate a sustainable airway governance framework for emergency departments (EDs) in Ireland, addressing the variability in training and governance of intubation procedures. Through a quality improvement project involving structured interventions, they demonstrated that implementing leadership, standardized checklists, and continuous feedback led to a first-pass success rate of over 90% and low complication rates across multiple cycles. This framework not only maintained high performance metrics despite staff turnover but also offers a replicable model for establishing airway governance standards in other EDs.