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Emergency Medicine Cases

Ep 110 Airway Pitfalls – Live from EMU 2018

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 22 May 2018

⏱️ 40 minutes

🧾️ Download transcript

Summary

The last decade has seen a torrent of literature and expert opinion on emergency airway management. It is challenging to integrate all this new information into a seamless flow when faced with a challenging airway situation. In this live podcast recorded at North York General's Emergency Medicine Update Conference 2018, Scott Weingart and Anton Helman put together the latest in emergency airway management by outlining  6 common airway pitfalls: Failure to prepare for failure, failure to position the patient properly, failure to optimize oxygenation, failure to optimize hemodynamics, failure to consider an awake intubation and failure to prepare for a cricothyrotomy...

Transcript

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0:00.0

Welcome to the Emergency Medicine Cases podcast with your host, Dr. Anton Hellman, bringing you Canada's

0:07.9

brightest minds in emergency medicine from EMC studios in Toronto.

0:15.7

This year's completely sold out Emergency Medicine Update Conference in Toronto was a blast.

0:21.4

We had Alma Matu, Sarah Gray, Walter Himmel, Chris Hicks, Kylie Bosman, Aaron Ciel, and a long list of all-star

0:28.7

educators give talks. They ran hands-on workshops and they inspired everyone there to be the best

0:35.6

emergency providers they could be. And I had the great

0:38.7

fortune myself to do a live podcast in the main hall on airway pitfalls with the man who brings

0:45.0

upstairs downstairs. That's right, Scott Weingart. And here it is. The vast majority of

0:51.9

airway disasters happen when a routine intubation turns into a crash intubation. You know, for the vast majority of airway disasters happen when a routine intubation turns into a crash intubation.

0:57.0

You know, for the vast majority of these cases, we have time.

1:01.0

So we're going to talk about these six pitfalls.

1:04.0

First, without a plan, when things go badly, you're screwed.

1:10.0

Next, without all your vectors optimized in the best patient position, getting that tube in

1:15.9

will be more difficult and your patient's physiology will not be optimized.

1:20.5

Next, if you don't get that O2 set as good as you can before intubation, again, you're

1:27.2

asking for the patient to crash.

1:29.5

All right. And then we're going to talk about optimizing hemodynamics. We're going to talk about

1:32.6

the human dynamically protected one. We're going to consider awake intubation, not just for that

1:37.5

crashing blood pressure patient, but also for the anatomically difficult patient. And then on

1:43.3

we're going to talk about my favorite topic in the whole wide world, which is taking

1:46.5

a scalpel to a patient's neck when it's going to save their life.

1:50.0

All right, let's jump into our first case.

...

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