The art of the blade. Here is a short talk on the when and how of the simple scalpel-bougie-tube cricothyrotomy. Their is a long history of debate about the value to needle crics and multiple good methods to use the knife, but we are just teaching this simple technique. Good luck.
Here are this modules pretest questions:
- When should an emergency cricothyrotomy be performed?
- Describe the SHORT mnemonic for predicting the difficult surgical airway.
- Describe the needed equipment, where it is located in the ED.
- Describe how to identify the anatomic landmarks for a cric.
- Describe/draw the “Laryngeal Handshake.”
- Describe/draw a technique of an emergent cricothyrotomy?
---for full clarity: click through to watch in Vimeo
The Emergency Department Double Setup
October 25th, 2012
by reuben in airway
Tips and Tricks for Performing Cricothyrotomy
By Richard M. Levitan, MD, FACEP | on February 6, 2014 |
ACEP now http://www.acepnow.com/article/tips-tricks-performing-cricothyrotomy/(Accessed on 1/05/14)
How to Make the Incision, Insert the Tube in Cricothyrotomy
By Richard M. Levitan, MD, FACEP | on April 11, 2014 |
ACEP Now http://www.acepnow.com/article/make-incision-insert-tube-cricothyrotomy/ (Accessed on 1/05/14)
Darren Braude, EMrap TV, Bougie guided cric: https://vimeo.com/67187062 (accessed on 23/06/2014)
Here is a little summary that reviews most of the best practices around airway management and then discusses some cric philosophy: http://emcrit.org/podcasts/emcrit-live-2015/
Here is a video from Minh Le Cong and PHARM- PreHospital And Retrieval Medicine- Video of an actual cric: http://prehospitalmed.com/2013/02/27/actual-emergency-cricothyrotomy-video/(accessed on 05/06/2014)
The Melker Emergency Cricothyrotomy Catheter Tray: http://www.cookmedical.com/cc/dataSheet.do?id=4815
Here is EmCrits's Most recent lecture on the Emergent Surgical Airway: http://emcrit.org/podcasts/surgical-airway/