Ok Team Airway,
Here is the first module on the EEAC Course. We overview the how to prepare the room, team and equipment for and emergent airway. This lecture is designed for providers who don't frequently intubate people in the Emergency Department but are occasionally asked to do so. This includes ED nurses, most ED regs, most ICU and anesthetic regs. Many consultants who don't regularly intubate unstable patients in the ED could probably use little thought-provoking refresher on what we can all do to make our ED airway care a little smoother.
Pretest #1: Airway prep and assessment
- What are the clinical indications for emergency airway protection?
- Describe the differences between “crash,” “emergent,” and “semi-elective” airways?
- Describe the roles of the team members during airway management.
- Who is ultimately responsible for patient care in the ED resus room?
- What equipment needs to be prepared to control a patient’s airway?
- Draw how the room should be organized and where should the suction be located?
- Describe/draw the Airway Cart Top Setup
- Describe or draw a reasonable difficult airway algorithm
- What is an ED airway checklist and how can it be implemented?
- When, during an airway emergency, should it be used and how long should it take to complete?
---for full clarity: click through to watch in Vimeo
Here are some other algorithms: http://lifeinthefastlane.com/education/ccc/difficult-airway-algorithms/
Here is a short example of a team intubating a patient in the ED from Larry Mellick (http://www.youtube.com/channel/UC_yjveGdyx6mqqHkHaD-_bg)
Here is a great little talk on Airway Checklist during SMACC Gold by Tim Leeuwenburg. (http://kidocs.org/2014/03/real-airway-doctors-use-checklists/)
As always, Life in the Fast Lane has a great little review on getting ready for airway management: http://lifeinthefastlane.com/education/ccc/rapid-sequence-intubation/
Remember, a checklist is a CHECKLIST, not an instruction manual. It needs to be completed AFTER the team believes they are completely ready for RSI not as a step-by-step assembly manual.
Here is an example of the "Vortex" approach. This is different algorithm than we teach at our institution, but is a great example of how planning and a checklist can assist in airway care (http://www.vortexapproach.com/Vortex_Approach/Vortex.html).
Other airway websites
- Life in the Fast Lane- Own the Airway http://lifeinthefastlane.com/2011/02/own-the-airway/
- Prehospital and Retrieval Medicine- http://prehospitalmed.com/category/airway/