RSI
Apneic preoxygenation
Apneic oxygenation without nasal prongs – the “Hungarian Air Ambulance method”. a The intubator preoxygenates the patient with a non-rebreathing mask (15 lpm). Upper airway patency is maximized by two naso- and one oropharyngeal airway. b The intubator cuts the tubing of the mask after the onset of apnea. c The intubator removes the mask and inserts the free end of the tubing approximately 3–5 cm deep into the nasopharyngeal airway. d The laryngoscopy is performed with the “tube in the tube”
Emergency Ventilation
BMV is always a 2 person procedure (regardless of technique used) – Skilled person holds the mask and anyone else can provide the breaths + Consider the 2 thumbs down technique for BMV instead of the CE clamp. And Believe it or Not – Learning BMV is more important than mastering Laryngoscopy !!
Management of the trauma patient’s airway – pearls and pitfalls
How Do I Adequately Assess the Airway?
The LEMON mnemonic is one of the most commonly utilized airway assessment tools, and is recommended by the most recent Advanced Trauma Life Support (ATLS) guidelines.
Which Trauma Patients Should I Intubate?
- Airway protection
- Oxygenation
- Ventilation
- Preoperative management (i.e. patients with painful injuries or undergoing painful procedures before non-emergent operation)