This is Steve Carroll, and you're listening to the Amb Basic podcast.

This episode is part two for the anaphylaxis episode.

In this episode, we'll talk about the general approach to the airway in the patient with

anaphylaxis or really any upper airway obstruction.

We'll review a stepwise approach to these airways so we can do the right thing for the patient.

Some of the techniques I'll be talking about may be a little advanced and on the cutting edge

of clinical care, but I think it's important to always have these techniques in the back of

your mind. These airways can be the scariest airways that we encounter, so we need to be thinking

about our approach ahead of time and not leave it until

you have a critical patient in front of you. As always, this podcast is a representative of

the U.S. Army of the Fort Hood Post Command. So let's go back to that sick patient with

anaphylaxis. They have strider, they aren't moving air, and they look bad. You have given either

I.M. or IV epinephrine, and they don't seem to be

turning the corner. Anaphylaxis airways are some of the scariest airways out there, and you need to be

able to act decisively and with a plan in order to have a good outcome. Even though I'm talking

about airway planning after epinephrine, it's really something that has to occur at the

same time as the Epi administration. You need to be gathering your airway equipment and

formulating a plan in case the patient crashes. Let's go through a stepwise approach to the

ataphylaxis airway. So while we are reviewing this, keep in mind that the main issue in

anaphylaxis is upper

airway edema, so this thought process will work for any patient in whom upper airway obstruction

is concerned, such as angioedema. First, while we are gathering our equipment, we need to be

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