meta_pixel
Tapesearch Logo
Log in
EM Clerkship

Airway Part 2- Bag Valve Mask Adjuncts

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Health & Fitness, Science, Education, Medicine, Life Sciences

4.9816 Ratings

🗓️ 20 January 2019

⏱️ 11 minutes

🧾️ Download transcript

Summary


How do you oxygenate a patient (while you are preparing for RSI) if suction, moving the tongue, and basic BVM ventilation are unsuccessful?



Pharyngeal Airways



* These tools bypass the posterior portion of the tongue to help with BVM ventilation* Nasopharyngeal Airway (NP)* Measure from earlobe to tip of nose* TEST QUESTION: Don’t use in a patient with possible skull fracture* Oropharyngeal Airway (OP)* Measure from earlobe to corner of mouth



Laryngeal Mask Airway (LMA)



* Essentially a modified BVM to place inside the mouth* It fits OVER the larynx (cords, epiglottis, etc)



Retroglottic Airways



* “King”* “Combitube”



Additional Reading



* Laryngeal Mask Airway (Wikipedia)* King Airway (Wikipedia)* Combitube (Wikipedia)

Transcript

Click on a timestamp to play from that location

0:00.0

Hello, med students. My name is Zach Olson, and thank you for downloading this week's

0:05.9

episode of the EM Clerkship Podcast. We're still wrapping up some pre-recorded episodes. There's

0:13.1

three pre-recorded episodes left, and then I'm going to kind of do an episode, updating everyone

0:18.8

on where we're going with the podcast, which I'm really excited about.

0:21.6

But before we, we get into kind of the 2019 season, which in my mind hasn't technically started yet, even though it's 2019, we need to talk a little bit more about airway.

0:33.5

And we talked about airway a long, long, long time ago, suction, moved the tongue, right?

0:40.5

Airway management is probably like the core procedure in all of emergency medicine.

0:46.6

If there's like a procedure that defines us, it's our ability to come up with lots of different ways to manage the airway.

0:52.8

That's why we do anesthesia rotations and stuff too,

0:55.0

because they're similar.

0:56.1

A lot of airway management skills in our training.

1:00.3

And there is a saying in emergency medicine,

1:02.8

and you've probably heard it.

1:05.3

ABC's IV O2 monitor advanced airway equipment to the bedside, right?

1:15.4

This is what we do when the fully dressed screaming, cyanotic train wreck covered in their own feces, right, gets, gets thrown onto your

1:23.1

stretcher by EMS. ABC's IV O2 monitor, Monitor, Advanced Airway Equipment to the bedside.

1:31.3

This is like our safety blanket in emergency medicine, okay?

1:35.8

And so we talked about it way, way back, way back in that old Airway episode.

1:40.6

And as we said, when you think Airway, and especially as a med student, too, the first thought

1:45.6

that comes to your mind should be very basic. Grab suction, pick up the back of that tongue, so

1:52.1

jaw thrust, however you do it. It's a cognitive mistake that will burn you if during airway

1:57.2

you jump in your mind to intubation. Don't do it. Suction, move the tongue. That's like your

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2026.