Category Archives: Airway

Oxygen Physiology with Daniel Davis

By Avital Porat, MD Please refer to EMCrit Daniel Davis from UCSD with extensive work in resuscitation (specifically airway and oxygenation) Pulse Oximetry Lag (or latency) When a pulse ox probe is placed on a digit there is a predictable … Continue reading

Posted in 1Beginner, Airway, EMCRIT | Leave a comment

Post-Intubation Package

By Christie Lech, MD Emcrit: Post-Intubation Package Number 1, know the analgesia and sedation agents you want Secure the tube – the Hollister anchor device is recommended because it 1) doesn’t block the mouth and 2) does not cause pressure … Continue reading

Posted in 1Beginner, 1Intermediate, Airway, EMCRIT, Vent | Leave a comment

RANT! Asthma: A Forgotten Therapy

By Christie Lech, MD Please refer to EMRAP August 2012 This talk refers to the severe, acute asthmatic Pathophysiology: bronchospasm (including smooth muscle hypertrophy and hyper-reactivity) + airway edema (a consequence of inflammation) For bronchospasm, we use beta 2 agonists … Continue reading

Posted in 1Beginner, Airway, EMRAP | Leave a comment

Dominating the Vent

By George Lim, MD EMCrit: Dominating the Vent In the ED when you see patients about to be placed on vents, just think: Obstruction (ie asthma, COPD) vs Lung injury (ie. everyone else)? -       Simplifying vent parameters Tidal volume (Vt) … Continue reading

Posted in 1Beginner, 1Intermediate, Airway, Critical Care, EMCRIT, Vent | Leave a comment

EMCrit Wee: Are extraglottic airways harmful in cardiac arrest?

By Benjamin Schnapp, MD http://emcrit.org/wee/extraglottic-airways-harmful-cardiac-arrest/ King Tube, Combitube, LMA were tested in a swine model of cardiac arrest. A large drop in carotid blood flow was seen with insertion of all devices. Thought is that airways may be compressing the … Continue reading

Posted in 1Intermediate, Airway, cardiac arrest, EMCRIT | Leave a comment

Airway World: Airway Management and Obesity

By Tatiana Havryliuk, MD Airway Management and Obesity By Calvin Brown III on Airway World http://amec.6connex.com/vep/index.html?eventname=airwayworld&langR=en_US#nid=room1144;cid=   basics on airway management of obese patients: -       intrinsic airway pressures are higher than in normal sized adults -       you will often need … Continue reading

Posted in 1Beginner, 1Intermediate, Airway, Airway World | Leave a comment

EMRAP: Shortness of Breath: Anaphylaxis, CHF, and Asthma

By Christie Lech, MD https://www.emrap.org/episode/2010/april/shortnessof?link=episode-guide ANAPHYLAXIS Causes of shortness of breath: cardiac, pulmonary, “in your head”/anxiety, metabolic acidosis, neuromuscular, flail chest, “abnormal blood” – anemia, hypoxia, carbon monoxide exposure Causes of wheezing Reactive airway disease: COPD, asthma, bronchiolitis Heart failure … Continue reading

Posted in 1Beginner, Airway, EMRAP | Leave a comment

HQMedEd: Bougie Videos

By Seth Treuger MD The Bougie: John Mcgill http://www.hqmeded.com/video/1085978 Most popular bougie is disposable, plastic, with coudé tip Will accommodate 5mm ID tube Peds will take 4mm ID 2 person procedure Max glottis view Assistant hands bougie Operator places Keep … Continue reading

Posted in 1Advanced, 1Intermediate, Airway, HQMedEd | Leave a comment

Emcrit’s wee: Cliff Reid’s Tips for Occasional Intubators

By Tatiana Havryliuk EMCrit Wee – Cliff Reid’s Tips for Occasional Intubators 1.      position – single most important thing, ear to sternal notch 2.      have a check list 3.      discuss plan with the whole … Continue reading

Posted in 1Beginner, Airway, EMCRIT | Leave a comment

EMCRIT 53 – Needle Vs Cric

by Christie Lech MD EMCRIT 53 Minh Le Cong – Why needle cric is superior to surgical techniques: First, identify there is a problem – a cannot oxygenate/cannot intubate situation.  Then, proceed to the neck. Get a 14 gauge cannula and … Continue reading

Posted in 1Advanced, Airway, EMCRIT, Procedures, Resuscitation | Leave a comment