Welcome to the Emergency Medicine Cases Podcast. I'm your host, Dr. Anton Hellman, bringing you the brightest minds in emergency medicine from around the world.

EMCases is brought to you by Shremi, the Schwartz-Riesman Emergency Medicine Institute. That's a non-profit organization dedicated to improving EM care through high-quality research and education. The opinions expressed on this podcast are intended for information and education purposes only and should not be used to diagnose, treat, or prevent any medical condition, nor should they be used as a substitute for medical advice from a qualified practicing physician.

This episode is... The opinions expressed on this podcast are intended for information and education purposes only and should not be used to diagnose treat or prevent any medical condition, nor should they be used as a substitute for medical advice from a qualified practicing physician.

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Bruce Lee famously said,

I fear not the man who practiced 10,000 kicks once,

but I fear the man who has practiced one kick 10,000 times.

When it comes to the trauma airway,

RSI is our go-to technique for most of us,

and we're pretty comfortable with it, and some of us have done it not 10,000 times, but maybe hundreds of times.

So when we're in the heat of a big trauma, it makes sense to go with what your mind, your muscles, and your team know best, and that's probably RSI.

But alas, it's not so simple. The big question is, when should we

deviate from our primary technique? And if we do deviate from RSI, what technique should we use

and what should the timing of that technique be? The timing depends on the anatomic, physiologic, and psychologic airway

challenges that face us with each case. We need to know not only how to manage the airway and the

polytrauma patient, but how to manage trauma to the airway itself, whether that's a blow to the throat

or an implement going into the neck.

So to help us answer these big questions for our big trauma cases, we have two guest

experts and trauma team leaders who you've almost certainly heard before on EM cases, Dr. George

Kovach, our go-to airway expert from beautiful Nova Scotia, and Dr. Andrew Petrosoniac, our go-to airway expert from beautiful Nova Scotia and Dr. Andrew Petrosoniac, our go-to

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