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This authorization drew primarily on the STEP program, including the STEP 1 trial reported by Wilding and colleagues in 2021 [10]

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Potential strategies could have included pharmacologic agents promoting gastric emptying (e.g., metoclopramide or domperidone), positioning in the reverse Trendelenburg position, rapid sequence induction, and application of the Sellick maneuver (Nason 2015

It wouldnt solve the problem of the needles, but it would reduce the amount of plastic used