Can’t Intubate Can’t Oxygenate


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

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References

DAS guidelines for management of unanticipated difficult intubation in adults 2015
NAP4: Major Complications of Airway Management in the United Kingdom
The Vortex Approach
Emergency cricothyrotomy – a systematic review. Langvad. SJTREM. 2013
Emergency scalpel cricothyroidotomy use in a prehospital trauma service: a 20-year review. Aziz. Emerg Med J. 2021
Needle, knife, or device – which choice in an airway crisis? Crewdson. SJTREM. 2013
DAS; CICV 1-8 years

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