Hello, med students.

My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship

Podcast.

Okay.

So far, airway.

Phase one, suction and move the tongue.

Phase two, basic airway, bag valve mask adjuncts, naso and oropharyngeal airways. Phase three, pre-oxygenation, RSI, the

intubation procedure. And today, the final phase, phase four, this is kind of expert level

stuff, but I'm just going to give you an introduction to it, difficult airways. Your plan B, what to do when things aren't going right and you an introduction to it. Difficult airways.

Your plan B, what to do when things aren't going right and you can't really get the tube in and things are just not working.

If you get a chance to do airways on your rotation, your attending is going to want you

to verbalize a backup plan.

And last week, we mentioned how you're supposed to say five things out loud so that

you're attending knows that you've prepared equipment and one of those things was like a laryngeal

mask airway. But what you're doing here is you're verbalizing that you have a plan B and a plan C.

This is very important for you now. And forever and ever, you need to have a backup

plan. And really, there are five choices for your backup plan, five kind of classic options.

And we're just going to go over briefly the five airway fallbacks today. And this is going to

be more for when you're a little more

advanced and you've gotten good at intubation and things like that. So you've suction, you've moved

the tongue, you've bagged, you've put in the nasal pharyngeal or the oropharyngeal airway adjuncts,

you pre-oxygenated, and then crap, you miss the tube.

...