This document provides an overview and objectives for a training on anatomy of the upper and lower airways, ventilation, respiration, and use of the S.A.L.T.TM device. It describes the S.A.L.T.TM as a single-use oropharyngeal airway that can facilitate blind intubation and reduce accidental extubation. It also lists the standing medical order for use of the S.A.L.T.TM device, which allows its use after two unsuccessful intubation attempts to help guide placement of an endotracheal tube.
This is a brief review of airway management (basics, exams and devices).
Special thanks to Dr. S. Malek for kind sharing of his valuable slides on this topic.
indication foe intubation ,routes of intubation , the role of nurse in intubation ,indication of mechanical ventilation ,ventilators ,ventalotory modes and its advantages and disadvantages , complication of mechanical ventilation , nursing Management for patients on ventilator ,suction technique and weaning process
This is a brief review of airway management (basics, exams and devices).
Special thanks to Dr. S. Malek for kind sharing of his valuable slides on this topic.
indication foe intubation ,routes of intubation , the role of nurse in intubation ,indication of mechanical ventilation ,ventilators ,ventalotory modes and its advantages and disadvantages , complication of mechanical ventilation , nursing Management for patients on ventilator ,suction technique and weaning process
It is the responsibility of every HEALTH CARE PROVIDER Regardless of certification level, to Manage a patient's airway in the most effective way possible.
It is the fastest and most commonly practiced approach and allows visual inspection of the supraglottic areas for foreign bodies (e.g., false or loose teeth, aspirated objects) and other obstructions (e.g., tumors). The most important consideration in oral intubation is appropriate head position.
http://www.theheart.org/web_slides/1352573.do
A study on PALLAS to demonstrate the efficacy of dronedarone in preventing major CV events (stroke, systemic arterial embolism, MI or CV death) or unplanned CV hospitalization or death from any cause in patients with permanent AF and additional risk factors.
It is the responsibility of every HEALTH CARE PROVIDER Regardless of certification level, to Manage a patient's airway in the most effective way possible.
It is the fastest and most commonly practiced approach and allows visual inspection of the supraglottic areas for foreign bodies (e.g., false or loose teeth, aspirated objects) and other obstructions (e.g., tumors). The most important consideration in oral intubation is appropriate head position.
http://www.theheart.org/web_slides/1352573.do
A study on PALLAS to demonstrate the efficacy of dronedarone in preventing major CV events (stroke, systemic arterial embolism, MI or CV death) or unplanned CV hospitalization or death from any cause in patients with permanent AF and additional risk factors.
Dr rowan molnar anaesthetics study guide part iiiDr. Rowan Molnar
Dr rowan molnar anaesthetics study guide part iii
Recognise risk – pre anaesthetic consultation
Avoid risk if possible – e.g. can procedure be done under LA?
Mitigate risk – optimise patient condition, select safest technique/agents/resources – e.g “cardiac” anaesthetic & postop ventilation.
Plan & be prepared for emergencies – e.g. predrawn emergency drugs, backup airway plan.
Observe/monitor for deviations & crises.
Respond in a timely& appropriate fashion.
Call for help/backup if required.
Dr Rowan Molnar,
Dr Rowan Molnar Anaesthetics,
Dr Rowan
Introduction:
Patients in any healthcare setting can quickly become acutely unwell, and assessment and management of the airway is always the priority in any clinical situation (Resuscitation Council UK, 2021). When patients are critically unwell, there is a high risk of respiratory deterioration, and many patients require an artificial airway to facilitate their treatment. Knowing how to assess and manage the airway is a key skill for the nurse working in critical care.
Airway management is the cornerstone of resuscitation and is a defining skill for the specialty of emergency medicine. The emergency clinician has primary airway management responsibility, and all airway techniques lie within the domain of emergency medicine. Although rapid sequence intubation (RSI) is the most commonly used method for emergent tracheal intubation, emergency airway management includes various intubation techniques and devices, approaches to the difficult airway, and rescue tech- niques when intubation fails.
The decision to intubate should be based on careful patient assessment and appraisal of the clinical presentation with respect to three essential criteria: (1) failure to maintain or protect the airway; (2) failure of ventilation or oxygenation; and (3) the patient’s anticipated clinical course and likelihood of deterioration.
In most patients, intubation is technically easy and straightfor- ward. Although early ED-based observational registries reported cricothyrotomy rates of about 1% for all intubations, more recent studies have shown a lower rate, less than 0.5%.3 As would be expected with an unselected, unscheduled patient population, the ED cricothyrotomy rate is greater than in the operating room, which occurs in approximately 1 in 200 to 2000 elective general anesthesia cases.4 Bag-mask ventilation (BMV) is difficult in approximately 1 in 50 general anesthesia patients and impossible in approximately 1 in 600. BMV is difficult, however, in up to one-third of patients in whom intubation failure occurs, and dif- ficult BMV makes the likelihood of difficult intubation four times higher and the likelihood of impossible intubation 12 times higher. The combination of failure of intubation, BMV, and oxy- genation in elective anesthesia practice is estimated to be exceed- ingly rare, roughly 1 in 30,000 elective anesthesia patients.4 These numbers cannot be extrapolated to populations of ED patients who are acutely ill or injured and for whom intubation is urgent and unavoidable. Although patient selection cannot occur, as with a preanesthetic visit, a preintubation analysis of factors predicting difficult intubation gives the provider the information necessary to formulate a safe and effective plan for intubation.
Preintubation assessment should evaluate the patient for potential difficult intubation and difficult BMV, placement of and ventilation with an extraglottic device (EGD; and cricothyrotomy. Knowledge of all four domains is crucial to successful planning. A patient who exhibits obvious difficult airway characteristics is highly predictive of a challenging intuba- tion, although the emergency clinician should always be ready for a difficult to manage airway, because some difficult airways may not be identified by a bedside assessment.
Airway difficulty exists on a spectrum and is contextual to the provider’s experience, environment, and armamentarium of devices.
Please share your valuable opinions.
Students’ Use of Digital Storytelling to Enhance Media Literacy SkillsTonia A. Dousay
Digital storytelling (DST) activities in the classroom are an increasingly popular way to promote learner autonomy and digital competency. However, if you're looking to implement DST in your classroom, how do you get started? What contexts are appropriate and what resources are necessary to carry out DST projects? This session will provide some best practices and lessons learned from instructors of a preservice teacher course that uses DST in the classroom.
Measuring the Impact of Multimedia Design on Situational Interest of LearnersTonia A. Dousay
Maintaining and increasing intrinsic motivation in multimedia learning environments is a challenge. Although there are design principles to provide guidance, there remains a question of how to measure the impact on learner interest. The current study examined the application of situational interest theory and proposes a modified survey adapted from the Situational Interest Survey to use in evaluating the effects of multimedia design on the interest of learners.
Talking points of roundtable presentation at #AECT13
From death by PowerPoint to engaging Captivate: Lessons learned when implemen...Tonia A. Dousay
Existing instructional materials often create a host of challenges for even the seasoned multimedia developer. In this case, the project involved taking a text-heavy PowerPoint presentation and converting it for use in a research study evaluating the design principles of modality and redundancy. From storyboard concept to Captivate project, lessons learned included how to incorporate animation, narration, and text in varying degrees without compromising the quality of the design.
Presentation at #AECT13.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
2. Objectives
Name the major components of the upper
and lower airways
Describe the functions of the upper and
lower airways
Describe the process of ventilation
Describe the process of respiration
Identify the S.A.L.T.™ device
Demonstrate use of the S.A.L.T.™ device
Explain the SMO for the S.A.L.T.™ device
9. Supraglottic Airway
Laryngopharangeal Tube
“The S.A.L.T.™ is a
unique single patient
use oropharyngeal
airway which can be
utilized to facilitate
blind, endotracheal
intubation. The
S.A.L.T.™ can also be
utilized to reduce
accidental
endotracheal tube
extubation.”
11. Standing Medical Order*
A. Open Airway
1. Manual maneuvers
2. Clear obstructions using the appropriate
techniques/suction
3. If necessary, insert appropriate airway
device to maintain the airway (i.e.
oropharyngeal, nasopharyngeal, endotrach
eal tube, S.A.L.T. ™, Combi-tube/King
Airway, cricothyrotomy)
*The following SMO is provided as an example only. Check with your Medical Director for the current Airway Management SMO
at your service.
12. Standing Medical Order
4. Intubate any unconscious patient without a gag
reflex
a. monitor patient’s pulse oximetry and cardiac rhythm
at all times to prevent unrecognized hypoxia
b. hyper oxygenate prior to intubation attempt
c. if not able to place tube within 30
sec., withdraw, hyper oxygenate, and re-attempt
d. verify placement using Ambu tube check
device, observing appropriate chest rise, end tidal
CO2 monitoring, and auscultation of breath sounds
e. orotracheal or nasotracheal intubation as indicated
f. secure tube with ET tube holder (pediatric – use tape)
g. in the cardiac arrest situation, initial airway
management should be completed with manual
maneuvers, & simple adjuncts.
13. Standing Medical Order
5. After two unsuccessful attempts at intubation by
direct laryngoscopy, hyper oxygenate the
patient, place S.A.L.T. ™ adjunct, hyper
oxygenate, then intubate through the S.A.L.T. ™.
The S.A.L.T. ™ is only indicated in patients for
whom 6.5mm through 9.0mm ETT is appropriate.
6. Nasotracheal intubation and nasal airways
should be avoided in the patient with facial
trauma, or suspected basal skull fracture.
7. Extreme caution should be exercised in any
patient experiencing significant head injury, or
with signs of rising intracranial pressure.
14. Standing Medical Order
8. With suspected head injuries, administer
Lidocaine 1.5 mg/kg prior to ETT intubation to
help prevent rise in ICP.
9. For any patient with a GCS < 8, complete
endotracheal intubation
10. Only if necessary, in the unusually difficult
intubation, and when the patient can not
otherwise be oxygenated by basic life
support measures, consider giving Versed
(or valium) 5 mg IVP + Morphine Sulfate 2 mg
IVP to facilitate intubation per Medication
Facilitated Intubation Standing Order.
15. Standing Medical Order
11. A Combi-tube/King Airway should be used if
attempts at intubation with the S.A.L.T. ™ are
unsuccessful. For EMT-I’s, the Combi-tube/King
Airway is the advanced airway for utilization. The
Combi-tube/King Airway is contraindicated in
the following:
a. patients under 5 feet in height or over 6’4” in
height
b. patients who are less than 16 years of age
c. patients who weigh less than 90 lbs
d. patients who have known esophageal disease
e. patients who have ingested caustic substances
16. Objectives Review
Name the major components of the upper
and lower airways
Describe the functions of the upper and
lower airways
Describe the process of ventilation
Describe the process of respiration
Identify the S.A.L.T.™ device
Demonstrate use of the S.A.L.T.™ device
Explain the SMO for the S.A.L.T.™ device