SlideShare a Scribd company logo

Advanced airway-management

•Download as PPT, PDF•
•
Dang Thanh Tuan
Dang Thanh Tuan
Health & Medicine
1 of 44
Advanced Airway Management Part 4 The Difficult Airway By Steve Cole, CCEMT-P
… So I said “Hey Ya’ll…watch this”…………
Goals ,[object Object],[object Object],[object Object],[object Object]
What this class assumes : ,[object Object],[object Object],[object Object],[object Object],[object Object]
As Such: ,[object Object],[object Object],[object Object]
“ A mind once stretched by new Ideas never regains it original dimensions…”
Why do we Intubate? ,[object Object],[object Object],[object Object]
Ideal conditions for intubation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ideal Pt. for intubation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
If only they looked this good…
Ped and Adult Normal Trachea
How many of our Pt’s are like That?
In Reality Our patients are: ,[object Object],[object Object],[object Object],[object Object],[object Object]
They Tend to look like This:
And This:
And This (after failed ETT attempt)
Most of our Patients are already “difficult airways” by “OR” Standards. Why should EMS personnel try to further identify a difficult airway?
 
The American Society of Anesthesiology (AMA)has noted: ,[object Object],[object Object],[object Object]
What does this mean to us? ,[object Object],[object Object],[object Object],[object Object]
How can we further identify a difficult airway? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Past Medical History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Past Medical History (Continued) ,[object Object],[object Object],[object Object],[object Object]
Basic Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object]
ThyroMental Distance ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dr. Binnions Lemon Law: An easy way to remember multiple tests… ,[object Object],[object Object],[object Object],[object Object],[object Object]
L: Look Externally ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
E: Evaluate the 3-3-2 rule ,[object Object],[object Object],[object Object]
M: Mellampati classification ,[object Object],[object Object],[object Object]
Mellampati Classification
Cormack & Lehane Grading
O: Obstruction? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
N: Neck Mobility ,[object Object],[object Object],[object Object],[object Object]
What do we do when we have a difficult airway?
The ASA calls a Failed/Difficult Laryngeoscopy a: ,[object Object],[object Object],[object Object],[object Object]
So what do we do?
A little pre-planning goes a long way…
Before intubation ,[object Object],[object Object],[object Object],[object Object],[object Object]
What are we going to do if we don’t get the Tube? ,[object Object],[object Object]
Plan “A”: (ALTERNATE) ,[object Object],[object Object],[object Object]
Plan “B”: (BVM and BLIND INTUBATION Techniques ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
What do we do when faced with a Can’t Intubate Can’t Ventilate situation? ,[object Object]
Do YOU feel ready to enact Plans A, B, C at a drop of a hat? ,[object Object],[object Object],[object Object]
OK , Here You Go! ,[object Object]

Recommended

Difficults airway
Difficults airwayDifficults airway
Difficults airway
isakakinada
 
Extubation problems and its management
Extubation problems and its managementExtubation problems and its management
Extubation problems and its management
Dr Kumar
 
Bronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubesBronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubes
Dhritiman Chakrabarti
 
Difficult airway : Made easy
Difficult airway : Made easy Difficult airway : Made easy
Difficult airway : Made easy
Dr.Venugopalan Poovathum Parambil
 
ASA Guidelines for Management of the Difficult Airway
ASA Guidelines for Management of the Difficult AirwayASA Guidelines for Management of the Difficult Airway
ASA Guidelines for Management of the Difficult Airway
Sun Yai-Cheng
 
Anaesthesia breathing systems
Anaesthesia breathing systemsAnaesthesia breathing systems
Anaesthesia breathing systems
D Nkar
 
Ayre t piece
Ayre t pieceAyre t piece
Ayre t piece
Arun Aru
 
Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia
Ashwin Haridas
 

Recommended

Difficults airway
Difficults airwayDifficults airway
Difficults airway
isakakinada
 
Extubation problems and its management
Extubation problems and its managementExtubation problems and its management
Extubation problems and its management
Dr Kumar
 
Bronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubesBronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubes
Dhritiman Chakrabarti
 
Difficult airway : Made easy
Difficult airway : Made easy Difficult airway : Made easy
Difficult airway : Made easy
Dr.Venugopalan Poovathum Parambil
 
ASA Guidelines for Management of the Difficult Airway
ASA Guidelines for Management of the Difficult AirwayASA Guidelines for Management of the Difficult Airway
ASA Guidelines for Management of the Difficult Airway
Sun Yai-Cheng
 
Anaesthesia breathing systems
Anaesthesia breathing systemsAnaesthesia breathing systems
Anaesthesia breathing systems
D Nkar
 
Ayre t piece
Ayre t pieceAyre t piece
Ayre t piece
Arun Aru
 
Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia
Ashwin Haridas
 
Difficult airway management
Difficult airway managementDifficult airway management
Difficult airway management
DrVishal Kandhway
 
Airway management
Airway managementAirway management
Airway management
Shailendra Veerarajapura
 
Difficult airway
Difficult airwayDifficult airway
Difficult airway
imran80
 
Airway management
Airway managementAirway management
Airway management
mirshafat
 
Recent advances in airway management.
Recent advances in airway management.Recent advances in airway management.
Recent advances in airway management.
Dr.Alpa Sonawane
 
basic airway management
basic airway managementbasic airway management
basic airway management
Salah Ashour
 
Breathing circuits
Breathing circuitsBreathing circuits
Breathing circuits
gramanathan
 
Airway Management
Airway Management Airway Management
Airway Management
paramedicbob
 
LAYNGEAL MASK AIRWAY
LAYNGEAL MASK AIRWAYLAYNGEAL MASK AIRWAY
LAYNGEAL MASK AIRWAY
Niresh Raja
 
Awake intubation
Awake intubationAwake intubation
Awake intubation
ZIKRULLAH MALLICK
 
Airway Manegement
Airway ManegementAirway Manegement
Airway Manegement
Husni Ajaj
 
Airway assessment in anaesthesia
Airway assessment in anaesthesiaAirway assessment in anaesthesia
Airway assessment in anaesthesia
CaliPenn
 
Supraglottic airway devices
Supraglottic airway devicesSupraglottic airway devices
Supraglottic airway devices
ZIKRULLAH MALLICK
 
Airway management
Airway managementAirway management
Airway management
sob7anallah
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
AnaestHSNZ
 
Extubation protocol in the OR and ICU
Extubation protocol in the OR and ICUExtubation protocol in the OR and ICU
Extubation protocol in the OR and ICU
RalekeOkoye
 
Airway
AirwayAirway
Airway
Narenthorn EMS Center
 
Airway management part 2
Airway management part 2Airway management part 2
Airway management part 2
Dang Thanh Tuan
 
Airway assessment
Airway assessmentAirway assessment
Airway assessment
Dhritiman Chakrabarti
 
33)Esophageal Tracheal Combitube
33)Esophageal Tracheal Combitube33)Esophageal Tracheal Combitube
33)Esophageal Tracheal Combitube
phant0m0o0o
 
airwaytoday.ppt
airwaytoday.pptairwaytoday.ppt
airwaytoday.ppt
MostafaElbagoury6
 
Pediatric Airways Management
Pediatric Airways ManagementPediatric Airways Management
Pediatric Airways Management
Dang Thanh Tuan
 

More Related Content

What's hot

Difficult airway
Difficult airwayDifficult airway
Difficult airway
imran80
 
Breathing circuits
Breathing circuitsBreathing circuits
Breathing circuits
gramanathan
 
Airway Management
Airway Management Airway Management
Airway Management
paramedicbob
 
Airway management
Airway managementAirway management
Airway management
sob7anallah
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
AnaestHSNZ
 
Airway management part 2
Airway management part 2Airway management part 2
Airway management part 2
Dang Thanh Tuan
 
33)Esophageal Tracheal Combitube
33)Esophageal Tracheal Combitube33)Esophageal Tracheal Combitube
33)Esophageal Tracheal Combitube
phant0m0o0o
 

What's hot (20)

Difficult airway management
Difficult airway managementDifficult airway management
Difficult airway management
 
Airway management
Airway managementAirway management
Airway management
 
Difficult airway
Difficult airwayDifficult airway
Difficult airway
 
Airway management
Airway managementAirway management
Airway management
 
Recent advances in airway management.
Recent advances in airway management.Recent advances in airway management.
Recent advances in airway management.
 
basic airway management
basic airway managementbasic airway management
basic airway management
 
Breathing circuits
Breathing circuitsBreathing circuits
Breathing circuits
 
Airway Management
Airway Management Airway Management
Airway Management
 
LAYNGEAL MASK AIRWAY
LAYNGEAL MASK AIRWAYLAYNGEAL MASK AIRWAY
LAYNGEAL MASK AIRWAY
 
Awake intubation
Awake intubationAwake intubation
Awake intubation
 
Airway Manegement
Airway ManegementAirway Manegement
Airway Manegement
 
Airway assessment in anaesthesia
Airway assessment in anaesthesiaAirway assessment in anaesthesia
Airway assessment in anaesthesia
 
Supraglottic airway devices
Supraglottic airway devicesSupraglottic airway devices
Supraglottic airway devices
 
Airway management
Airway managementAirway management
Airway management
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
 
Extubation protocol in the OR and ICU
Extubation protocol in the OR and ICUExtubation protocol in the OR and ICU
Extubation protocol in the OR and ICU
 
Airway
AirwayAirway
Airway
 
Airway management part 2
Airway management part 2Airway management part 2
Airway management part 2
 
Airway assessment
Airway assessmentAirway assessment
Airway assessment
 
33)Esophageal Tracheal Combitube
33)Esophageal Tracheal Combitube33)Esophageal Tracheal Combitube
33)Esophageal Tracheal Combitube
 

Similar to Advanced airway-management

Pediatric Airways Management
Pediatric Airways ManagementPediatric Airways Management
Pediatric Airways Management
Dang Thanh Tuan
 
Airway management in for seadtion
Airway management in for seadtionAirway management in for seadtion
Airway management in for seadtion
moutasem al mashour
 
Advanced Airway Management
Advanced Airway ManagementAdvanced Airway Management
Advanced Airway Management
paramedicbob
 
Airway assessment and pedictors of difficult airway....must know for anaesthe...
Airway assessment and pedictors of difficult airway....must know for anaesthe...Airway assessment and pedictors of difficult airway....must know for anaesthe...
Airway assessment and pedictors of difficult airway....must know for anaesthe...
drriyas03
 
Airway and breathing
Airway and breathing Airway and breathing
Airway and breathing
whitmaha
 
Recognition And Management Of Difficult Airway
Recognition And Management Of Difficult AirwayRecognition And Management Of Difficult Airway
Recognition And Management Of Difficult Airway
Dr. Shaheer Haider
 
Asthma Update - Spirometry.pptx
Asthma Update - Spirometry.pptxAsthma Update - Spirometry.pptx
Asthma Update - Spirometry.pptx
FauziShahida
 

Similar to Advanced airway-management (20)

airwaytoday.ppt
airwaytoday.pptairwaytoday.ppt
airwaytoday.ppt
 
Pediatric Airways Management
Pediatric Airways ManagementPediatric Airways Management
Pediatric Airways Management
 
Airway management in for seadtion
Airway management in for seadtionAirway management in for seadtion
Airway management in for seadtion
 
Airway Management 2
Airway Management 2Airway Management 2
Airway Management 2
 
Advanced Airway Management
Advanced Airway ManagementAdvanced Airway Management
Advanced Airway Management
 
2020 fun with thoracostomy's
2020 fun with thoracostomy's2020 fun with thoracostomy's
2020 fun with thoracostomy's
 
Airway assessment and pedictors of difficult airway....must know for anaesthe...
Airway assessment and pedictors of difficult airway....must know for anaesthe...Airway assessment and pedictors of difficult airway....must know for anaesthe...
Airway assessment and pedictors of difficult airway....must know for anaesthe...
 
Trauma Management PPT for MBBS Students by Dr Anil Kumar,AIIMS-Patna
Trauma Management PPT for MBBS Students by Dr Anil Kumar,AIIMS-PatnaTrauma Management PPT for MBBS Students by Dr Anil Kumar,AIIMS-Patna
Trauma Management PPT for MBBS Students by Dr Anil Kumar,AIIMS-Patna
 
Ep 27 Hobson posture and airway
Ep 27 Hobson posture and airwayEp 27 Hobson posture and airway
Ep 27 Hobson posture and airway
 
Prof. Anis Bhatti lecture on DDH evaluation & screening Protocols
Prof. Anis Bhatti lecture on DDH evaluation & screening ProtocolsProf. Anis Bhatti lecture on DDH evaluation & screening Protocols
Prof. Anis Bhatti lecture on DDH evaluation & screening Protocols
 
Airway and breathing
Airway and breathing Airway and breathing
Airway and breathing
 
Backup airways
Backup airwaysBackup airways
Backup airways
 
Airway assessment Dr. Tushar
Airway assessment Dr. TusharAirway assessment Dr. Tushar
Airway assessment Dr. Tushar
 
Recognition And Management Of Difficult Airway
Recognition And Management Of Difficult AirwayRecognition And Management Of Difficult Airway
Recognition And Management Of Difficult Airway
 
Asthma Update - Spirometry.pptx
Asthma Update - Spirometry.pptxAsthma Update - Spirometry.pptx
Asthma Update - Spirometry.pptx
 
Airway solutions in trauma scenarios
Airway solutions in trauma scenariosAirway solutions in trauma scenarios
Airway solutions in trauma scenarios
 
Airway management
Airway managementAirway management
Airway management
 
Critical illness airway management
Critical illness airway managementCritical illness airway management
Critical illness airway management
 
Ch08 eec3
Ch08 eec3Ch08 eec3
Ch08 eec3
 
ATLS (Advance Trauma Life Support)
ATLS (Advance Trauma Life Support)ATLS (Advance Trauma Life Support)
ATLS (Advance Trauma Life Support)
 

More from Dang Thanh Tuan

Sutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnSutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
Dang Thanh Tuan
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnSmoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
Dang Thanh Tuan
 
Skippen chong dong crrt-vn
Skippen chong dong crrt-vnSkippen chong dong crrt-vn
Skippen chong dong crrt-vn
Dang Thanh Tuan
 
Internet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnInternet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
Dang Thanh Tuan
 
Internet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnInternet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
Dang Thanh Tuan
 
Internet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnInternet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
Dang Thanh Tuan
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnInternet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
Dang Thanh Tuan
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnGoldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
Dang Thanh Tuan
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnGambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
Dang Thanh Tuan
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
Dang Thanh Tuan
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
Dang Thanh Tuan
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
Dang Thanh Tuan
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
Dang Thanh Tuan
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
Dang Thanh Tuan
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
Dang Thanh Tuan
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
Dang Thanh Tuan
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
Dang Thanh Tuan
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
Dang Thanh Tuan
 
12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
Dang Thanh Tuan
 

More from Dang Thanh Tuan (20)

Sutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnSutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnSmoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
 
Skippen chong dong crrt-vn
Skippen chong dong crrt-vnSkippen chong dong crrt-vn
Skippen chong dong crrt-vn
 
Internet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnInternet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
 
Internet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnInternet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
 
Internet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnInternet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnInternet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnGoldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnGambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
 
12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
 

Recently uploaded

👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
rajnisinghkjn
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Sheetaleventcompany
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Oleg Kshivets
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Namrata Singh
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Sheetaleventcompany
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Sheetaleventcompany
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
perfect solution
 
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
tanudubay92
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Janvi Singh
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Sheetaleventcompany
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
Sheetaleventcompany
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
soniyagrag336
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
MedicoseAcademics
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
call girls hydrabad
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Janvi Singh
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Namrata Singh
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Sheetaleventcompany
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
Sheetaleventcompany
 

Recently uploaded (20)

👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 

Advanced airway-management

Editor's Notes

  1. Place Axis photo here
  2. In most cases Pre-hospital airway needs managing regardless of difficulty , and the Paramedic is expected to do that, regardless of difficulty ….so what is the benefit of knowing a Fancy system?