Airway
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 11 April 2016
⏱️ 10 minutes
🧾️ Download transcript
Summary
“Airway” does not necessarily mean “Intubation”
Introduction
* In emergency medicine we are taught “A-B-Cs”* These are actions that can be accomplished in first 60 seconds of patient encounter* Intubation takes several minutes to accomplish* Intubating a crashing patient might even KILL them!* Resuscitate THEN intubate
Step 1: Suction
* Immediately suction if patient is…* Altered and vomiting* Gurgling
Step 2: Move the Tongue
* Bedside maneuvers* Head tilt* Chin lift* Jaw thrust* Adjunct equipment* Oropharyngeal airway* Nasopharyngeal airway
Additional Reading
* Airway Part 2 – BVM Adjuncts (EM Clerkship)* Airway Part 3 – Rapid Sequence Intubation (EM Clerkship)* Airway Part 4 – What to Do If Intubation Fails (EM Clerkship)* Laryngoscope As A Murder Weapon – Hemodynamic Kills (EMCrit)
Transcript
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| 0:00.0 | Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of |
| 0:07.1 | endless charting once you become a doctor? Do you think that doctors should be spending more |
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| 0:20.4 | secure, hippocompliant scribe that anybody can use. |
| 0:24.7 | Focus your energy on what matters, providing good patient care. |
| 0:29.5 | Use coupon code EM50 to save 50% the first month you try it, |
| 0:34.1 | and you can cancel at any time if you decide it's not right for you. You can learn more |
| 0:38.9 | at www.gitfreed.aI. |
| 0:44.5 | Hello, med students. My name is Zach Olson, and today is episode A, airway. It is going to be the |
| 0:52.7 | first of three episodes where I am planning on teaching you a 60-second |
| 0:58.4 | approach to the crashing patient. This is going to happen to you multiple times on your clerkship, |
| 1:05.1 | and you really need to be the best at this if you want to get top one-third ranking on your slow. |
| 1:12.4 | Now, before we get started on Airway, let me ask you, who is the crashing patient? How are you going to know when you need to |
| 1:19.5 | fall back on the A, B, C's? One of my attendings totally said it best when he told me, |
| 1:27.2 | Zach, it was one of those situations |
| 1:29.8 | where I could feel the beat of sweat dripping down my back and it landed in my butt crack. |
| 1:35.7 | What causes that? What causes butt crack sweat? Because he's totally right. What causes your |
| 1:43.0 | heart rate to go up and up and up and |
| 1:44.8 | up and what causes a lump to crawl into your throat and causes the nurses to talk louder |
| 1:50.4 | and louder and louder until the whole room feels chaotic and people are tripping on |
| 1:55.4 | oxygen tubing and trays are crashing and the family members are screaming. Are you even a real |
| 2:00.7 | doctor? |
... |
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