Capt. Rommie L. Duckworth, LP
DIFFICULT
BVM
http://www.flickr.com/photos/45617397@N05/4190477130/
http://www.flickr.com/photos/tao_zhyn/442965594/
OPA / NPA
SGA (King,LMA,etc.)
Endotracheal Tube
Cricothyrotomy
OPA SGA ET Cric
Upper Airway
Lower Airway
Fast
Blind
Fast
Blind Simple
Complete
NC SGA ET Cric
O2 Saturation
Perfusion
Barotrauma
B
E
M
A
GI
C
• GLOTTIC / INTERMEDIATE: (Ready Already)
• ATTEMPT: First Pass Intubation
• MAKE IT EASY: Tool & Techniques
...
•BLS: Pre-Saturate
http://www.flickr.com/photos/indraw/4857101224/
Source: Annals of Emergency Medicine 2012; 59:165-175.e1 (DOI:10.1016/j.annemergmed.2011.10.002 )
>94%
<90%
<70%
• EVALUATE: Look Before You Leap
• EVALUATE: Look Before You Leap
Don’t Let Your Patient Get
MOUTHI!
Mouth
Obstruction
Uvula
Teeth
Head
Immobile
Mouth
Obstruction
Uvula
Teeth
Head
Immobile
• MAKE IT EASY: Tools&Techniques
• MAKE IT EASY: Tools&Techniques
•EVALUATE: Look Before You Leap
• Attempt: First Pass Intubation• Attempt : First Pass Intubation
• MAKE IT EASY: Tools & Techniques
•EVALUATE: Look befor...
• GLOTTIC/INTERMEDIATE: Be Ready Already
• GLOTTIC/INTERMEDIATE: Be Ready Already
•ATTEMPT: First Pass Intubation
• MAKE I...
• CO2 / Correct / Cric: Fin it Fix it Fast
• GLOTTIC / INTERMEDIATE: Be Ready Already
•ATTEMPT: First Pass Intubation
• MA...
Displacement
Obstruction
Pnuemothorax
Equipment Failure
OPA SGA ET Cric
Upper Airway
Lower Airway
Fast
Blind
Fast
Blind Simple
Complete
NC SGA ET Cric
O2 Saturation
Perfusion
Barotrauma
http://www.flickr.com/photos/indraw/4857101224/
B
E
M
A
GI
C
• GLOTTIC / INTERMEDIATE: (Ready Already)
• ATTEMPT: First Pass Intubation
• MAKE IT EASY: Tool & Techniques
...
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
Difficult Airway Management for EMS
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Difficult Airway Management for EMS

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Airway management is the first and most critical objective in emergency patient care. This presentation presents simple methods to rapidly identify and assess difficult airway conditions and uses new and upcoming tricks, tools and techniques in airway management, as well as novel ways to use the tools that we already have in place to manage the difficult airway. Less is more as BLS techniques are used to improve ALS airway management of the toughest airway emergencies. This program utilizes the latest research in prehospital airway management, papers from several international anesthesia and difficult airway management societies and dovetails with long-format airway management programs such as SLAM, The Airway Course, EAMC and others.


Learning Objectives: Students will learn:
-The airway algorithm to use in managing any difficult airway scenario.
- Best practices in assessment and anticipation of difficult airway situations.
-The use of new equipment and techniques in difficult airway management.
-The roles and responsibilities of the BLS provider in ALS airway emergencies.

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  • Management is a spectrum
  • Management is a spectrum
  • Nasal Oxygen During Efforts Securing A TubeConnect objectives with Tx modalities
  • Nasal Oxygen During Efforts Securing A Tube
  • Nasal Oxygen During Efforts to Secure The Tube
  • ET through SGA
  • Adverse Events!
  • Adverse Events!
  • Adverse Events!
  • Nasal Oxygen During Efforts to Secure The Tube
  • Management is a spectrum
  • Transcript of "Difficult Airway Management for EMS"

    1. 1. Capt. Rommie L. Duckworth, LP
    2. 2. DIFFICULT
    3. 3. BVM
    4. 4. http://www.flickr.com/photos/45617397@N05/4190477130/
    5. 5. http://www.flickr.com/photos/tao_zhyn/442965594/
    6. 6. OPA / NPA SGA (King,LMA,etc.) Endotracheal Tube Cricothyrotomy
    7. 7. OPA SGA ET Cric Upper Airway Lower Airway Fast Blind Fast Blind Simple Complete
    8. 8. NC SGA ET Cric O2 Saturation Perfusion Barotrauma
    9. 9. B E M A GI C • GLOTTIC / INTERMEDIATE: (Ready Already) • ATTEMPT: First Pass Intubation • MAKE IT EASY: Tool & Techniques • EVALUATE: Look before you Leap • CO2 / Correct / Cric: Find it Fix it Fast
    10. 10. •BLS: Pre-Saturate
    11. 11. http://www.flickr.com/photos/indraw/4857101224/
    12. 12. Source: Annals of Emergency Medicine 2012; 59:165-175.e1 (DOI:10.1016/j.annemergmed.2011.10.002 ) >94% <90% <70%
    13. 13. • EVALUATE: Look Before You Leap • EVALUATE: Look Before You Leap Don’t Let Your Patient Get MOUTHI!
    14. 14. Mouth Obstruction Uvula Teeth Head Immobile
    15. 15. Mouth Obstruction Uvula Teeth Head Immobile
    16. 16. • MAKE IT EASY: Tools&Techniques • MAKE IT EASY: Tools&Techniques •EVALUATE: Look Before You Leap
    17. 17. • Attempt: First Pass Intubation• Attempt : First Pass Intubation • MAKE IT EASY: Tools & Techniques •EVALUATE: Look before you Leap
    18. 18. • GLOTTIC/INTERMEDIATE: Be Ready Already • GLOTTIC/INTERMEDIATE: Be Ready Already •ATTEMPT: First Pass Intubation • MAKE IT EASY: Tools & Techniques • EVLAUATE: Look before you Leap
    19. 19. • CO2 / Correct / Cric: Fin it Fix it Fast • GLOTTIC / INTERMEDIATE: Be Ready Already •ATTEMPT: First Pass Intubation • MAKE IT EASY: Tools & Techniques • EVALUATE: Look before you Leap • CO2 / Correct / CRIC : Find it Fix it Fast
    20. 20. Displacement Obstruction Pnuemothorax Equipment Failure
    21. 21. OPA SGA ET Cric Upper Airway Lower Airway Fast Blind Fast Blind Simple Complete
    22. 22. NC SGA ET Cric O2 Saturation Perfusion Barotrauma
    23. 23. http://www.flickr.com/photos/indraw/4857101224/
    24. 24. B E M A GI C • GLOTTIC / INTERMEDIATE: (Ready Already) • ATTEMPT: First Pass Intubation • MAKE IT EASY: Tool & Techniques • EVALUATE: Look before you Leap • CO2 / Correct / Cric: Find it Fix it Fast
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