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Intubation has been removed from the paramedic scope of practice in some prehospital systems because outcomes are worse than with other ventilation methods. In systems where pediatric intubation is still practiced, training remains a challenge because of the low incidence of pediatric respiratory arrest and the differences in anatomy between children and adults. In a prospective, randomized, crossover study of 25 paramedics and senior paramedic students, researchers compared insertion times and complication rates with the King Laryngeal Tube (KLT) airway (a supraglottic airway that is blindly inserted into the hypopharynx) and endotracheal intubation by direct laryngoscopy in an infant manikin (6-month-old size) during simulated respiratory…