Airway Carts

Airway Carts Open endotracheal tubes may be safely left on an ED airway cart for 48 hours. (Am J Emerg Med. 2005 Jul;23(4):548-51.) CONCLUSION: It appears that opening, preparing, and storing ETTs in an ED airway cart for up to 48 hours does not increase the risk of bacterial contamination of the ETTs. Sterility of […]

Video Laryngoscopy

In a recent retrospective ED study, CMAC and glidescope had same 1st pass and overall success rate (Annals of Emergency Medicine  Volume 61, Issue 4, April 2013, Pages 414–420)

Supraglottic and Extraglottic Airways (SGAs and EGAs)

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LMAs CLINICAL SKILLS FOR THE PREHOSPITAL USE OF THE LMA Similar to the first laryngoscopy,41 the first LMA insertion attempt should be optimized. Is the Correct LMA Size Selected? The LMA Classic is available in six sizes. The manufacturer recommends two size selection criteria: weight based (for adults patients: size 3, 30 to 50 kg, […]

Blind Nasotracheal Intubation

Consider awake BNTI in a predicted difficult airway   start with 32 french trumpet anesthetize through it to get post pharynx   Use the left nostril or if using the right turn tube 180°   Facilitated by neutral head position and ET tube cuff inflation to 15cc.   depth is 26-28 cm at nares   […]

Cricothyrotomy

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Heard’s CICO algorithm (Anaesthesia 2009;64:601) Cricothyrotomy (Surgical) Stand at pt’s right (if you are right hand dominant, otherwise reverse all sides) Left  hand holds thyroid cartilage with index finger touching membrane. Make a vertical incision from thyroid cartilage to above jugular notch. Make horizontal stab incision through cricothyroid membrane Drop trach hook into incision with […]

Foreign Body Removal

Use kidney stone forceps if you need to remove a foreign body with Glidescope (Resuscitation 84 (2013) e3– e4)