Can't Intubate Can't Oxygenate; Roadside to Resus
The Resus Room
Simon Laing
4.8 • 678 Ratings
🗓️ 17 April 2023
⏱️ 46 minutes
🧾️ Download transcript
Summary
Being in a situation of being unable to intubate and unable to oxygenate is an absolute time critical emergency.
Focus needs to be paid to the techniques and strategy to deal with this situation. But we also need to consider steps to ensure it occurs at a low frequency and our decision making and recognition of the situation happens quickly and simply.
In the episode we’re going to be talking about a number of other aspects that are relevant for all emergency providers, irrespective of whether you intubate or not, along with how those aspects translate into everyday practice.
We'll be covering bits around patient positioning, optimising simple ventilation via a BVM & supraglottics, all the way through to needle cricothyroidotomy and surgical airways.
Once again we'd love to hear any comments or questions either via the website or social media.
Enjoy!
Simon, Rob & James
Transcript
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| 0:00.0 | Welcome to the recess room podcast. |
| 0:03.5 | Five, four, three, two, one, fire. |
| 0:11.9 | So hi, and welcome back to the recess room podcast. |
| 0:15.3 | I'm Simon Lang. |
| 0:16.7 | I'm Rob Fenwick. |
| 0:17.8 | And I'm James Yates. |
| 0:19.1 | And we're back with another roadside to recess, and this |
| 0:22.4 | time it's on front of neck access. Yeah, it certainly is, isn't it? We didn't stay away from the |
| 0:27.8 | really Gucci topics for long, you know, straight back in with surgical airways and needle crikes. |
| 0:33.6 | Yeah, nice. I think it also helps that it's setting us up nicely to talk about a little conference we might have coming off the end of mate, isn't it, Simon? RSI and RSI assist, which is hopefully going to be really useful to all of the multidisciplinary team. |
| 0:56.6 | So before we get into Front of Neck Access, a big thanks to SJTrem, the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, |
| 1:05.0 | who partner with us on the podcast and make this all free open access and available to you. |
| 1:09.9 | So make sure you go over to their website and check out all the articles that are available for free online there after you've listened to the podcast. |
| 1:18.6 | So without further ado, let's crack on to the episode. |
| 1:24.0 | Okay, so the absolutely essential goal when we're thinking about airway management is to provide |
| 1:29.8 | oxygen to the patient. Now the next key bit is to provide ventilation and on top of that, |
| 1:36.2 | ideally we'll be looking to improve the security of that airway, reduce the risk of aspiration, |
| 1:41.7 | whilst really importantly not worsening physiology. But as we said, |
| 1:45.9 | the core fundamental here is to provide oxygenation, because obviously without that, we're going to get |
| 1:51.8 | a horrific patient outcome. Having said all that, in the vast majority of cases, we can achieve |
| 1:57.9 | all of these with every patient. But in the most critical of circumstances, |
| 2:03.4 | even the oxygenation may be a challenge. Now, the title of the podcast is front of neck access, |
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