{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T05:39:42Z","timestamp":1793425182536,"version":"4.5.0"},"reference-count":124,"publisher":"BMJ","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Airway management is an important skill for clinicians who care for adults who are acutely ill. Tracheal intubation can be life saving, but also carries a high rate of complications. Numerous tools are available to assess the difficulty of bag-valve-mask ventilation, intubation, and cricothyroidotomy; however, these tools currently have limited predictive value. Preparation, preoxygenation with non-invasive positive pressure ventilation, and physiological optimization are therefore essential steps to all airways. Drugs for induction and paralysis should be tailored to the patient. If rapid sequence intubation is performed, video laryngoscopy is preferred over direct laryngoscopy because it increases the likelihood of first pass success. Confirmation should include capnography or point-of-care ultrasound. Clinicians should ensure adequate analgesia and sedation to avoid patients experiencing awareness with paralysis, but this must be balanced with avoiding oversedation. This review summarizes the current data and provides an evidence based approach to airway management in the acute care setting.<\/jats:p>","DOI":"10.1136\/bmj-2025-086612","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T12:05:11Z","timestamp":1775649911000},"page":"e086612","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Airway management of adults in the acute care setting"],"prefix":"10.1136","volume":"393","clinical-trial-number":[{"clinical-trial-number":"nct05277896","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct05092152","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct05318066","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct07223762","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06322719","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06939361","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct05014581","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct05355974","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06322719","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Michael","family":"Gottlieb","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie C","family":"DeMasi","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan D","family":"Casey","sequence":"additional","affiliation":[{"name":"Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Vanderbilt Institute for Clinical and Translational Research, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew W","family":"Semler","sequence":"additional","affiliation":[{"name":"Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA"},{"name":"Vanderbilt Institute for Clinical and Translational Research, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin G","family":"Buell","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, and Sleep Medicine, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"2026040812400928000_393.apr08_4.e086612.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.1727"},{"key":"2026040812400928000_393.apr08_4.e086612.2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev538"},{"key":"2026040812400928000_393.apr08_4.e086612.3","unstructured":"National Center for Health Statistics. National Hospital Ambulatory Medical Care Survey: 2022 emergency department summary tables. https:\/\/www.cdc.gov\/nchs\/data\/nhamcs\/web_tables\/2022-nhamcs-ed-web-tables.pdf (accessed 27 July 2025)"},{"key":"2026040812400928000_393.apr08_4.e086612.4","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-023-01075-z"},{"key":"2026040812400928000_393.apr08_4.e086612.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.06.046"},{"key":"2026040812400928000_393.apr08_4.e086612.6","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-013-0019-3"},{"key":"2026040812400928000_393.apr08_4.e086612.7","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008874.pub2"},{"key":"2026040812400928000_393.apr08_4.e086612.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2023.111197"},{"key":"2026040812400928000_393.apr08_4.e086612.9","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/80.2.140"},{"key":"2026040812400928000_393.apr08_4.e086612.10","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-024-02627-1"},{"key":"2026040812400928000_393.apr08_4.e086612.11","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201210-1851OC"},{"key":"2026040812400928000_393.apr08_4.e086612.12","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10071-24914"},{"key":"2026040812400928000_393.apr08_4.e086612.13","article-title":"MONTH score in predicting difficult intubations in emergency department: a prognostic accuracy study","volume":"12","author":"Hongthong","year":"2023","journal-title":"Arch Acad Emerg Med"},{"key":"2026040812400928000_393.apr08_4.e086612.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2025.101589"},{"key":"2026040812400928000_393.apr08_4.e086612.15","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2015.8.27467"},{"key":"2026040812400928000_393.apr08_4.e086612.16","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201802-118OC"},{"key":"2026040812400928000_393.apr08_4.e086612.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2012.04.022"},{"key":"2026040812400928000_393.apr08_4.e086612.18","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-0975-9"},{"key":"2026040812400928000_393.apr08_4.e086612.19","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e40224"},{"key":"2026040812400928000_393.apr08_4.e086612.20","doi-asserted-by":"publisher","DOI":"10.1177\/08850666221111776"},{"key":"2026040812400928000_393.apr08_4.e086612.21","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2025.07.008"},{"key":"2026040812400928000_393.apr08_4.e086612.22","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2025.09.008"},{"key":"2026040812400928000_393.apr08_4.e086612.23","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12717"},{"key":"2026040812400928000_393.apr08_4.e086612.24","doi-asserted-by":"publisher","DOI":"10.1007\/s43678-020-00010-w"},{"key":"2026040812400928000_393.apr08_4.e086612.25","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.08.1163"},{"key":"2026040812400928000_393.apr08_4.e086612.26","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.9278"},{"key":"2026040812400928000_393.apr08_4.e086612.27","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-016-"},{"key":"2026040812400928000_393.apr08_4.e086612.28","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12630"},{"key":"2026040812400928000_393.apr08_4.e086612.29","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2015.11.012"},{"key":"2026040812400928000_393.apr08_4.e086612.30","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2016.06.018"},{"key":"2026040812400928000_393.apr08_4.e086612.31","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000028903"},{"key":"2026040812400928000_393.apr08_4.e086612.32","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-015-3796-z"},{"key":"2026040812400928000_393.apr08_4.e086612.33","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04413"},{"key":"2026040812400928000_393.apr08_4.e086612.34","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-019-05529-w"},{"key":"2026040812400928000_393.apr08_4.e086612.35","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200509-1507OC"},{"key":"2026040812400928000_393.apr08_4.e086612.36","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(19)30048-7"},{"key":"2026040812400928000_393.apr08_4.e086612.37","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2313680"},{"key":"2026040812400928000_393.apr08_4.e086612.38","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(25)00029-3"},{"key":"2026040812400928000_393.apr08_4.e086612.39","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.09.025"},{"key":"2026040812400928000_393.apr08_4.e086612.40","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000006171"},{"key":"2026040812400928000_393.apr08_4.e086612.41","doi-asserted-by":"publisher","DOI":"10.1381\/0960892042386869"},{"key":"2026040812400928000_393.apr08_4.e086612.42","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem095"},{"key":"2026040812400928000_393.apr08_4.e086612.43","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2011.06.015"},{"key":"2026040812400928000_393.apr08_4.e086612.44","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2015.68.2.116"},{"key":"2026040812400928000_393.apr08_4.e086612.45","doi-asserted-by":"publisher","DOI":"10.4097\/kja.22268"},{"key":"2026040812400928000_393.apr08_4.e086612.46","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.03.061"},{"key":"2026040812400928000_393.apr08_4.e086612.47","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(19)30246-2"},{"key":"2026040812400928000_393.apr08_4.e086612.48","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.9792"},{"key":"2026040812400928000_393.apr08_4.e086612.49","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000946"},{"key":"2026040812400928000_393.apr08_4.e086612.50","unstructured":"National Library of Medicine. NCT05014581\u2014Preventing cardiovascular collapse with vasopressors during tracheal intubation (PREVENTION). https:\/\/clinicaltrials.gov\/study\/NCT05014581 (accessed 26 August 2025)"},{"key":"2026040812400928000_393.apr08_4.e086612.51","unstructured":"National Library of Medicine. NCT05355974\u2014Using vasopressor medication to support blood pressure during intubation procedure (RAPID PRESS). https:\/\/clinicaltrials.gov\/study\/NCT05355974 (accessed 26 August 2025)"},{"key":"2026040812400928000_393.apr08_4.e086612.52","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202111-2575OC"},{"key":"2026040812400928000_393.apr08_4.e086612.53","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006515"},{"key":"2026040812400928000_393.apr08_4.e086612.54","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2511420"},{"key":"2026040812400928000_393.apr08_4.e086612.55","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009237.pub2"},{"key":"2026040812400928000_393.apr08_4.e086612.56","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.23550"},{"key":"2026040812400928000_393.apr08_4.e086612.57","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002788.pub3"},{"key":"2026040812400928000_393.apr08_4.e086612.58","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.18254"},{"key":"2026040812400928000_393.apr08_4.e086612.59","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2024.08.509"},{"key":"2026040812400928000_393.apr08_4.e086612.60","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13723"},{"key":"2026040812400928000_393.apr08_4.e086612.61","doi-asserted-by":"publisher","DOI":"10.1111\/acem.15031"},{"key":"2026040812400928000_393.apr08_4.e086612.62","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.05.004"},{"key":"2026040812400928000_393.apr08_4.e086612.63","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1812405"},{"key":"2026040812400928000_393.apr08_4.e086612.64","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201507-1294OC"},{"key":"2026040812400928000_393.apr08_4.e086612.65","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13274"},{"key":"2026040812400928000_393.apr08_4.e086612.66","doi-asserted-by":"publisher","DOI":"10.4103\/tjem.tjem_176_23"},{"key":"2026040812400928000_393.apr08_4.e086612.67","article-title":"Oxygenation during the apnoeic phase preceding intubation in adults in prehospital, emergency department, intensive care and operating theatre environments","volume":"8","author":"White","year":"2023","journal-title":"Cochrane Database Syst Rev"},{"key":"2026040812400928000_393.apr08_4.e086612.68","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2301601"},{"key":"2026040812400928000_393.apr08_4.e086612.69","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2020.03.011"},{"key":"2026040812400928000_393.apr08_4.e086612.70","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16326"},{"key":"2026040812400928000_393.apr08_4.e086612.71","doi-asserted-by":"publisher","DOI":"10.1007\/s10877-021-00746-5"},{"key":"2026040812400928000_393.apr08_4.e086612.72","unstructured":"National Library of Medicine. NCT06322719\u2014Hyperangulated vs Macintosh blades for intubation with videolaryngoscopy in ICU (INVIBLADE). https:\/\/www.clinicaltrials.gov\/study\/NCT06322719 (accessed 6 September 2025)"},{"key":"2026040812400928000_393.apr08_4.e086612.73","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16597"},{"key":"2026040812400928000_393.apr08_4.e086612.74","doi-asserted-by":"publisher","DOI":"10.1097\/CCE.0000000000000855"},{"key":"2026040812400928000_393.apr08_4.e086612.75","doi-asserted-by":"publisher","DOI":"10.3390\/jpm14020209"},{"key":"2026040812400928000_393.apr08_4.e086612.76","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-021-06417-y"},{"key":"2026040812400928000_393.apr08_4.e086612.77","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.6496"},{"key":"2026040812400928000_393.apr08_4.e086612.78","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.22002"},{"key":"2026040812400928000_393.apr08_4.e086612.79","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2023.08.484"},{"key":"2026040812400928000_393.apr08_4.e086612.80","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2021.05.038"},{"key":"2026040812400928000_393.apr08_4.e086612.81","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2024.07.017"},{"key":"2026040812400928000_393.apr08_4.e086612.82","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.7044"},{"key":"2026040812400928000_393.apr08_4.e086612.83","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.11597"},{"key":"2026040812400928000_393.apr08_4.e086612.84","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.48871"},{"key":"2026040812400928000_393.apr08_4.e086612.85","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.02.020"},{"key":"2026040812400928000_393.apr08_4.e086612.86","doi-asserted-by":"publisher","DOI":"10.1016\/j.resplu.2024.100653"},{"key":"2026040812400928000_393.apr08_4.e086612.87","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.08.012"},{"key":"2026040812400928000_393.apr08_4.e086612.88","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-020-01826-x"},{"key":"2026040812400928000_393.apr08_4.e086612.89","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.11.062"},{"key":"2026040812400928000_393.apr08_4.e086612.90","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2010.00753.x"},{"key":"2026040812400928000_393.apr08_4.e086612.91","doi-asserted-by":"publisher","DOI":"10.1186\/1757-7241-21-59"},{"key":"2026040812400928000_393.apr08_4.e086612.92","doi-asserted-by":"publisher","DOI":"10.4097\/kja.d.18.00025"},{"key":"2026040812400928000_393.apr08_4.e086612.93","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2021.09.015"},{"key":"2026040812400928000_393.apr08_4.e086612.94","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-024-02800-6"},{"key":"2026040812400928000_393.apr08_4.e086612.95","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16059"},{"key":"2026040812400928000_393.apr08_4.e086612.96","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-200102000-00018"},{"key":"2026040812400928000_393.apr08_4.e086612.97","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9572(02)00345-3"},{"key":"2026040812400928000_393.apr08_4.e086612.98","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)80937-0"},{"key":"2026040812400928000_393.apr08_4.e086612.99","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200012000-00015"},{"key":"2026040812400928000_393.apr08_4.e086612.100","doi-asserted-by":"publisher","DOI":"10.1002\/anr3.12313"},{"key":"2026040812400928000_393.apr08_4.e086612.101","doi-asserted-by":"publisher","DOI":"10.15441\/ceem.23.094"},{"key":"2026040812400928000_393.apr08_4.e086612.102","doi-asserted-by":"publisher","DOI":"10.11152\/mu-3594"},{"key":"2026040812400928000_393.apr08_4.e086612.103","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2017.12.36714"},{"key":"2026040812400928000_393.apr08_4.e086612.104","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.11.056"},{"key":"2026040812400928000_393.apr08_4.e086612.105","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.07.026"},{"key":"2026040812400928000_393.apr08_4.e086612.106","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.03.016"},{"key":"2026040812400928000_393.apr08_4.e086612.107","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.10.032"},{"key":"2026040812400928000_393.apr08_4.e086612.108","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2022.05.053"},{"key":"2026040812400928000_393.apr08_4.e086612.109","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2021.09.014"},{"key":"2026040812400928000_393.apr08_4.e086612.110","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.09.014"},{"key":"2026040812400928000_393.apr08_4.e086612.111","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201203-0522OC"},{"key":"2026040812400928000_393.apr08_4.e086612.112","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003299"},{"key":"2026040812400928000_393.apr08_4.e086612.113","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2024-079789"},{"key":"2026040812400928000_393.apr08_4.e086612.114","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004824"},{"key":"2026040812400928000_393.apr08_4.e086612.115","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2020.10.012"},{"key":"2026040812400928000_393.apr08_4.e086612.116","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2014.01.002"},{"key":"2026040812400928000_393.apr08_4.e086612.117","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/zxaf037"},{"key":"2026040812400928000_393.apr08_4.e086612.118","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003928"},{"key":"2026040812400928000_393.apr08_4.e086612.119","doi-asserted-by":"publisher","DOI":"10.1002\/emp2.12045"},{"key":"2026040812400928000_393.apr08_4.e086612.120","doi-asserted-by":"publisher","DOI":"10.62675\/2965-2774.20250133"},{"key":"2026040812400928000_393.apr08_4.e086612.121","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005233"},{"key":"2026040812400928000_393.apr08_4.e086612.122","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006000"},{"key":"2026040812400928000_393.apr08_4.e086612.123","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-024-07578-2"},{"key":"2026040812400928000_393.apr08_4.e086612.124","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2025.04.003"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj-2025-086612","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj-2025-086612","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T19:40:18Z","timestamp":1775677218000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj-2025-086612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,8]]},"references-count":124,"alternative-id":["10.1136\/bmj-2025-086612"],"URL":"https:\/\/doi.org\/10.1136\/bmj-2025-086612","relation":{},"ISSN":["1756-1833"],"issn-type":[{"value":"1756-1833","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,8]]}}}