What is the future of airway management in the ED? How can we make our practice more effective and more efficient? In this journal club recap, we focus on 2 topics emerging in the literature - flush rate O2 for pre-oxygenation and head of bed elevation during intubation.Read More
Multiple casualties are brought to you from a house fire. There are four victims:
- A 5’11” 70 kg woman with a GCS of 8
- A 5’9” 140 kg man with circumferential burns of the chest and neck
- A 20 month-old with a pedi-GCS of 10
- An elderly, 5’6” 65 kg man with no burns, but a history of severe CHF and complaining of chest pain and dyspnea
You determine that they all require intubation for various indications. You choose RSI as the method for all except the morbidly obese patient, who you intend to intubate awake, with sedation and topical airway anesthesia.
How would you position each of these patients to optimize your chances of successful intubation on the first attempt?Read More