Podcasts about Airway management

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Airway management

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Best podcasts about Airway management

Latest podcast episodes about Airway management

Prolonged Fieldcare Podcast
Prolonged Field Care Podcast 231: Emergence

Prolonged Fieldcare Podcast

Play Episode Listen Later May 26, 2025 45:34


In this episode of the PFC Podcast, Dennis and Kevin discuss the intricacies of waking patients after sedation, focusing on procedural sedation techniques, managing emergence delirium, and the challenges of airway management. They share insights from real-world experiences, particularly in combat and austere environments, emphasizing the importance of monitoring and patient safety during the awakening process. The conversation also covers extubation strategies, the differences between Cric and ET tube management, and the significance of having a well-thought-out emergence plan from the start of anesthesia.TakeawaysWaking a patient requires careful monitoring and reorientation.Emergence delirium can occur with ketamine; vigilance is key.Communication with the patient is crucial during awakening.Airway management is critical, especially in trauma cases.TIVA can complicate the emergence process; planning is essential.Extubation should be based on patient readiness and safety.Cric tubes may be better tolerated than ET tubes.Ventilation support may be necessary during the emergence phase.Understanding the patient's history aids in sedation decisions.Always be prepared for unexpected airway challenges.Chapters00:00 Introduction to Patient Awakening01:16 Procedural Sedation Techniques06:24 Managing Emergence Delirium10:40 Airway Management in Sedation15:27 Waking Up After Long Procedures24:23 Extubation Strategies and Considerations30:29 Cric vs. ET Tube Management39:06 Ventilation and Monitoring During EmergenceThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Prolonged Fieldcare Podcast
Prolonged Field Care Podcast: Patient Positioning

Prolonged Fieldcare Podcast

Play Episode Listen Later May 23, 2025 37:57


In this episode of the PFC Podcast, Dennis and Ethan discuss the critical role of patient positioning in emergency and prolonged field care. They explore various aspects of patient positioning, including its importance for TBI management, ventilation, and airway management. The conversation also addresses the risks associated with changing patient positions, the need for a safety net in patient care, and the operational considerations for medics in the field. They emphasize the significance of training and cultural factors in reducing preventable deaths in combat situations, concluding with a call to focus on the basics of patient care.TakeawaysPatient positioning is often overlooked but crucial in care.Elevating the head of the bed can help with TBI.Ventilation improves with proper patient positioning.Patients can manage their airways better when allowed to position themselves.Reassess interventions after changing patient positions.Improvisation is key in resource-limited environments.Equipment design can enhance patient care in the field.Cultural factors in military medicine impact patient outcomes.Training in patient positioning is essential for medics.Mastering the basics can significantly reduce preventable deaths.Chapters00:00 Introduction to Patient Positioning02:21 The Importance of Patient Positioning06:01 Patient Positioning for TBI and Ventilation09:20 Airway Management and Patient Positioning14:25 Risks and Downsides of Changing Patient Position19:18 Building a Safety Net in Patient Care20:22 Operational Considerations for Patient Positioning24:29 Improvisation and Equipment in Patient Care27:46 Positioning in Prolonged Field Care30:03 Cultural Factors in Reducing Preventable Deaths36:40 Conclusion and Key TakeawaysThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Straight A Nursing
#404: Airway Management for Nurses

Straight A Nursing

Play Episode Listen Later Apr 24, 2025 27:09


There's nothing like that moment when your patient starts having periods of obstructive apnea and you realize…YOU are the airway. In this episode, I'm walking you through the key things you need to know so you can feel more confident (and hopefully a bit less terrified) managing soft tissue obstructions. Hit play on this episode and I'll talk you through the signs of obstruction, optimal positioning, and the proper use of airway adjuncts like the OPA and NPA. If airway management has ever made you a little nervous, this episode is for you. ___________________ Full Transcript - Read the article and view references FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats including podquizzes, case studies and drills that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!  Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.  Crucial Concepts Bootcamp - Start nursing school ahead of the game, or reset after a difficult first semester with my nursing school prep course, Crucial Concepts Bootcamp. Learn key foundation concepts, organization and time management, dosage calculations, and so much more. Straight A Nursing App - Study on-the-go with the Straight A Nursing app! Review more than 5,000 flashcards covering a wide range of subjects including Fundamentals, Pediatrics, Med Surg, Mental Health, Maternal Newborn, and more! Available for free in the Apple App Store and Google Play Store.

Scholarly: Conversations on Medical Education from the ATS
A Multi-Center Study of Pulmonary Critical Care Trainees Perception of Airway Management Training during Fellowship

Scholarly: Conversations on Medical Education from the ATS

Play Episode Listen Later Apr 10, 2025 20:39


Dr. Rachel Quaney chats with Dr. Chris Ghiathi about his paper, " A Multi-Center Study of Pulmonary Critical Care Trainees Perception of Airway Management Training during Fellowship."

Swallow Your Pride
364 – Navigating the Complexities of ALS: A Deep Dive into Dysphagia and Airway Management with Dr. Lauren Tabor Gray

Swallow Your Pride

Play Episode Listen Later Apr 6, 2025 34:03


In this episode of the “Swallow Your Pride” podcast, host Theresa Richard speaks with Dr. Lauren Tabor Gray, a clinician scientist and assistant professor at Nova Southeastern University. Dr. Gray, who directs the Gray Research Lab, discusses her work on respiratory exercise interventions for ALS patients. The conversation covers the complexities of managing swallowing disorders […] The post 364 – Navigating the Complexities of ALS: A Deep Dive into Dysphagia and Airway Management with Dr. Lauren Tabor Gray appeared first on Swallow Your Pride Podcast.

Core EM Podcast
Episode 207: Smoke Inhalation Injury

Core EM Podcast

Play Episode Listen Later Apr 2, 2025


We discuss the injuries sustained from smoke inhalation. Hosts: Sarah Fetterolf, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Smoke_Inhalation.mp3 Download Leave a Comment Tags: Environmental, Toxicology Show Notes Table of Contents 00:37 – Overview of Smoke Inhalation Injury 00:55 – Three Key Pathophysiologic Processes 01:41 – Physical Exam Findings to Watch For 02:12 – Airway Management and Early Intervention 03:23 – Carbon Monoxide Toxicity 04:24 – Workup and Initial Treatment of CO Poisoning 06:14 – Cyanide Toxicity 07:19 – Treatment Options for Cyanide Poisoning 09:12 – Take-Home Points and Clinical Pearls Physiological Effects of Smoke Inhalation: Thermal Injury: Direct upper airway damage from heated air or steam. Leads to swelling, inflammation, and possible airway obstruction. Chemical Irritation: Causes bronchospasm, mucus plugging, and inflammation in the lower airways. Increases capillary permeability, potentially causing pulmonary edema. Systemic Toxicity: Primarily involves carbon monoxide and cyanide poisoning.

Med Tech Gurus
From Battlefield to Breakthrough: How Intublade is Changing Airway Management

Med Tech Gurus

Play Episode Listen Later Mar 12, 2025 32:17


Gurus, get ready for an incredible conversation! Today, we're sitting down with Dr. Andrew Napier, CEO and founder of Intublade. His journey is nothing short of amazing—from being a battlefield medic in Afghanistan to an emergency physician, and now a MedTech entrepreneur shaking up airway management. Dr. Napier saw firsthand the challenges of intubation in high-pressure situations, and instead of waiting for someone else to fix the problem, he built the solution himself. His innovation is transforming emergency care, making airway management faster, safer, and more reliable. Dr Napier and I get into; How to Innovate Under Pressure – Discover how Dr. Napier's battlefield experience shaped his approach to problem-solving in MedTech. Turning a Big Idea into Reality – Hear the real talk on overcoming FDA hurdles, securing funding, and getting a new medical device into hospitals and EMS units. Why Collaboration is Key – Learn how breaking down silos between engineers, clinicians, and sales teams leads to better products and faster adoption. You won't want to miss this one—Dr. Napier's energy, insights, and no-nonsense approach to innovation will leave you inspired. Let's dive in!

Prolonged Fieldcare Podcast
Prolonged Field Care Podcast: Facial Trauma

Prolonged Fieldcare Podcast

Play Episode Listen Later Mar 7, 2025 55:15


In this episode of the PFC Podcast, Dennis and Burjor delve into the intricacies of maxillofacial surgery, focusing on trauma management in austere environments. They discuss the importance of hemorrhage control, various techniques for managing facial injuries, and the critical aspects of airway management in trauma situations. The conversation emphasizes practical approaches and innovative techniques that can be employed in emergency scenarios, highlighting the need for preparedness and adaptability in medical practice. This conversation delves into the complexities of managing facial trauma, particularly focusing on airway management, mid-face fractures, and hemorrhage control techniques. The speakers discuss their differing comfort levels and approaches to treatment, emphasizing the importance of thorough evaluations and timely interventions. They also touch on the significance of recognizing signs of head injuries and the role of humanitarian efforts in providing medical care in remote areas.TakeawaysMaxillofacial surgery requires a deep understanding of hemorrhage control.Facial injuries can lead to significant blood loss, necessitating immediate action.Techniques for managing scalp lacerations include direct and indirect pressure.Ear and cheek injuries require specific dressing techniques to avoid obstruction.Neck injuries can be managed with packing and pressure techniques.Bone bleeds from jaw fractures can often be controlled by approximation.Airway management is crucial in trauma cases, especially with facial injuries.Definitive airway techniques may vary based on the operator's experience and available resources.Using basic materials creatively can effectively manage complex injuries.Preparation and adaptability are key in emergency medical situations. Airway management is prioritized over mid-face splinting in emergencies.Comfort levels in handling trauma vary among medical professionals.Facial injuries can distract from more critical injuries.Timely intervention is crucial in managing hemorrhage.Understanding the anatomy is key to treating facial fractures.Visual acuity tests are essential in assessing eye injuries.Bilateral bruising often indicates more severe facial fractures.Mid-face fractures require careful evaluation and management.Humanitarian medical efforts are vital in underserved areas.Training local populations enhances medical care in remote regions.Chapters00:00 Introduction to Maxillofacial Surgery03:03 Hemorrhage Control in Facial Injuries06:02 Techniques for Managing Scalp Lacerations09:09 Addressing Ear and Cheek Injuries12:04 Managing Neck Injuries14:50 Bone Bleeds and Jaw Fractures18:14 Airway Management in Trauma20:59 Definitive Airway Techniques28:34 Airway Management vs. Mid-Face Fractures33:11 Techniques for Hemorrhage Control38:02 Understanding Facial Fractures45:59 Signs of Head Injuries49:47 Addressing Mid-Face Fractures52:31 Team 5 Medical Foundation and Humanitarian EffortsThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Prolonged Fieldcare Podcast
Prolonged Field Care Podcast: Preparing for Arctic Combat Medicine

Prolonged Fieldcare Podcast

Play Episode Listen Later Feb 14, 2025 37:42


In this episode of the PFC Podcast, Dennis speaks with Brett and Sean about the Arctic Medic course designed to train medics in cold weather environments. They discuss the unique challenges posed by the Arctic, including cold weather injuries, hypothermia management, and the importance of survival skills. The conversation also covers the course structure, objectives, and the necessity of knowledge and experience in extreme conditions.TakeawaysThe Arctic Medic course is essential for training medics in cold weather environments.Cold weather injuries like frostbite and trench foot are significant concerns.Preventative measures and knowledge are key to reducing cold weather injuries.Airway management in extreme conditions poses unique challenges.Hypothermia management requires innovative techniques and equipment.Survival skills are critical for operating in the Arctic.Shelter is a top priority for survival in extreme cold.Experience in the Arctic environment is invaluable for medics.The course aims to create routine and repetition in training.Future iterations of the course will be nested in the Northern Warfare Training Center.Chapters00:00 Introduction to Arctic Medic Course04:02 Course Structure and Objectives10:00 Cold Weather Injuries and Prevention13:56 Airway Management in Extreme Conditions19:57 Hypothermia Management Techniques23:48 Survival Skills in the Arctic30:05 Preparing for Arctic Operations33:55 Course Overview and Future PlansThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

Teeth & Titanium
EP.52 - Nerve Repair with Dr. Michael Miloro

Teeth & Titanium

Play Episode Listen Later Feb 10, 2025 125:54


Welcome to Teeth & Titanium, Episode 52 - “Nerve Repair with Dr. Michael Miloro” This episode features:              Current Events             - Its cold, time for ski and learn(s)   Guest - Dr. Michael Miloro DMD MD FACS   Resident reminder             - Nerve Injury Classification   Journal club -              - Does Cannabis Affect Your Oral and Maxillofacial Surgery Practice?              - Airway Management in Microvascular Reconstruction of the Oral Cavity: Is Immediate              Extubation Possible?   THEN WE HAVE A BIG ANNOUNCEMENT!!!!    Recommendations             - A man of the people             - Marco?   Be sure to subscribe so you never miss an episode!   Apple / Spotify / Google / Online links   Thanks to the CAOMS for their continued support of this podcast. https://www.caoms.com   If you would like to contact us, be a guest, or would like to submit a topic for Resident Reminder or Journal club, please email us at: teethandtitaniumOMFS@gmail.com   Hosted by Dr. Wendall Mascarenhas and Dr. Oscar Dalmao Produced by Dr. Brad W. Ray   Articles/Books cited in this episode:   Aghaloo, Tara. Does Cannabis Affect Your Oral and Maxillofacial Surgery Practice? J Oral Maxillofac Surg,Volume 83, Issue 2, 127 - 128.   Le JM, Gigliotti J, Aljadeff L, Ying YP, Ponto J, Morlandt AB. Airway Management in Microvascular Reconstruction of the Oral Cavity: Is Immediate Extubation Possible? J Oral Maxillofac Surg. 2024 Oct 31:S0278-2391(24)00910-8

OpenAnesthesia Multimedia
The Use of Ultrasound in Airway Management: Video in Clinical Anesthesia, from Anesthesia & Analgesia

OpenAnesthesia Multimedia

Play Episode Listen Later Feb 10, 2025 11:59


View the full article on Anesthesia & Analgesia here: https://journals.lww.com/anesthesia-analgesia/fulltext/2024/10000/the_use_of_ultrasound_in_airway_management__video.28.aspx

Simulcast
199 Better airway management through translational simulation in a rural ED

Simulcast

Play Episode Listen Later Feb 5, 2025 40:04


Ever felt that preparing equipment for advanced airway management in your ED is ‘messy'?  In this episode Vic interviews Dr Ava Butler, an emergency doctor and QI/ simulation practitioner from rural British Columbia. We discussed her recent article about how equipment re-design and translational simulation was used to dramatically improve preparation speed and staff level of comfort with advanced airway management.  The conversation was informative and inspiring. We talked about the liberating structures process of brainstorming ideas for improvement, the role of patient partners in improvement, the hierarchy of interventions in quality improvement, and the significance of qualitative measures and stories in improvement efforts.  We marvelled at the dramatic improvements they achieved using a color-coded airway cart and translational simulation; a 76% reduction in time taken to prepare airway equipment, and significant improvements in staff comfort and team culture. EM sim cases got an honourable mention

CRNA School Prep Academy Podcast
Airway Management Adventures (CRNA Case Studies) w. Dr. Jeremy Heiner, The Nurse Anesthesia

CRNA School Prep Academy Podcast

Play Episode Listen Later Dec 25, 2024 33:07


Join the Free CSPA Community! Connect with a network of Aspiring CRNAs, Nurse Anesthesia Residents, practicing CRNAs and CRNA Program Faculty Mentors here: https://www.cspaedu.com/communityStep into the dynamic world of airway management with Dr. Jeremy Heiner as he brings a wealth of knowledge and innovative approaches directly to you. This session on airway management adventures, with real-life anesthesia case studies, promises to enrich your understanding and skills in handling complex clinical scenarios.Learn about the challenges and quick decision-making involved in managing airways in emergency situations, the technical aspects of procedures like rapid sequence induction, the strategic use of tools like a GlideScope or bougie, plus the importance of team communication and preoperative planning.Dr. Heiner's engaging storytelling and practical insights make this episode a must-read for anyone looking to master the art of airway management in anesthesia and critical care. Join CSPA and the team from The Nurse Anesthesia for this and more educational content that bridges the gap between academic learning and real-world nurse anesthesia practice.Get access to application & interview preparation resources plus ICU Educational Workshops that have helped thousands of nurses accelerate their CRNA success. Become a member of CRNA School Prep Academy: https://cspaedu.com/joinGet CRNA School insights sent straight to your inbox! Sign up for the CSPA email newsletter: https://www.cspaedu.com/podcast-emailBook a mock interview, resume or personal statement critique, transcript review and more: www.teachrn.comLearn More about The Nurse Anesthesia: www.TheNurseAnesthesia.comJoin our Free CSPA Community! Connect with a network of Aspiring CRNAs, Nurse Anesthesia Residents, practicing CRNAs and CRNA Program Faculty Mentors here: https://www.cspaedu.com/community

Tracheostomy Education
Laryngectomy vs. Tracheostomy: Navigating Airway Management and Voice Restoration

Tracheostomy Education

Play Episode Listen Later Dec 11, 2024 38:13


This conversation delves into the critical differences between tracheostomy and laryngectomy procedures, focusing on their indications, risks, and management. The discussion highlights the permanent nature of laryngectomy, the importance of voice restoration techniques, and the role of the TEP device. Emergency management strategies for laryngectomy patients are also explored, emphasizing the need for specialized care and understanding of airway management.00:00Introduction to the Conversation00:01Understanding Tracheostomy vs. Laryngectomy02:53Surgical Indications and Risks05:33Voice Restoration Post-Laryngectomy08:20TEP Device Management and Concerns11:08Eating and Drinking with a TEP14:11Emergency Management for Laryngectomy Patients15:09Oxygen and Medication Delivery Challenges17:21Care Management and Best PracticesSupport the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

ACEP Frontline - Emergency Medicine
Love is in the Air - Moderate Airway Management POC Tool

ACEP Frontline - Emergency Medicine

Play Episode Listen Later Dec 4, 2024 37:45


In this episode, we talk about the airway in the middle...the moderate respiratory distress patient that is on the struggle bus, but not ready for definitive airway management.

AAOMS On the Go
Office-Based Emergency Airway Management (OBEAM): The Importance Of Simulation Training

AAOMS On the Go

Play Episode Listen Later Nov 1, 2024


Simulation training in Office-Based Emergency Airway Management (OBEAM) through the AAOMS National Simulation Program is critical for oral and maxillofacial surgeons. Dr. William Chung joins the podcast to discuss how OMSs can refine their airway management skills using best-practice protocols in realistic emergency scenarios to improve patient safety.  Disclaimer 

Atomic Anesthesia
EMERGENCY AIRWAY MANAGEMENT WITH DR. GUS GESUMARIA

Atomic Anesthesia

Play Episode Listen Later Aug 26, 2024 62:13


In this episode, Rhea and Dr. Gus Gesumaria, an ER physician, discuss the challenges of emergency airway management in the ER and how it differs from the controlled OR setting. Contact Dr. Gesumaria at gesumaria@gmail.comCHECK OUT OUR PHARM COURSE HERE: https://atomicanesthesia.com/pharm-course[FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HEREFollow us on Instagram at: @Atomic_AnesthesiaCheck out our other free resources at AtomicAnesthesia.com

ECCPodcast: Emergencias y Cuidado Crítico
134 PFC: Manejo de la Vía Aérea en Cuidado Prolongado

ECCPodcast: Emergencias y Cuidado Crítico

Play Episode Listen Later Aug 24, 2024 29:56


Uno de los objetivos del manejo del paciente en el entorno prehospitalario es que el paciente llegue al lugar de cuidado definitivo. Como he mencionado en un sinnúmero de episodios anteriores, esto NO significa necesariamente el lugar más cercano, sino el lugar que puede resolver el problema del paciente. En este otro episodio discutimos en qué consiste el cuidado prolongado de heridos. Medicina bona locis malis Este CPG está creado teniendo en mente su uso en escenarios de combate o de cuidado prolongado de heridos. El escenario de cuidado prolongado de heridos bajo condiciones remotas puede incluir los extremos de no contar con todo el equipo normalmente empleado y/o deseado para llevar a cabo el mejor cuidado clínico. Por otro lado, el cuidado prolongado de heridos no necesariamente implica tener que improvisar, especialmente si se cuenta con acceso a recursos de cuidado médico avanzado. Este CPG está basado en esas realidades, y teniendo en cuenta las capacidades y recursos accesibles a las unidades del DoD de Estados Unidos de América. Esto significa que, al igual que cualquier otro guía o protocolo médico, no puede adoptarse ciegamente a cualquier otro sistema sin analizarlo y contemplar su aplicabilidad primero. Habiendo dicho esto, este CPG está basado en la mejor medicina posible bajo situaciones adversas. Estas guías proveen información valiosa para los siguientes programas que ofrecemos en ECCtrainings en Puerto Rico y República Dominicana. Prehospital Trauma Life Support Tactical Combat Casualty Care Tactical Emergency Casualty Care Advanced Cardiovascular Life Support Advanced Airway Management Advanced Medical Life Support Pediatric Advanced Life Support Ahora al episodio... Referencias https://jts.health.mil/assets/docs/cpgs/Airway_Management_in_Prolonged_Field_Care_01_May_2020_ID80.pdf

Tracheostomy Education
Airway Management Part 2: Episode 5

Tracheostomy Education

Play Episode Listen Later Jul 25, 2024 22:36


In this episode, Nicole DePalma and Dr. Jerry Gentile discuss the process of intubation and the confirmation of ET tube placement. They also cover complications that can arise from intubation, such as airway insecurity, dental injuries, and vocal fold damage. The importance of speech pathologists in assessing patients for swallowing disorders after extubation is highlighted. The hosts also touch on the criteria for extubation and the use of a bougie in difficult intubations.https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Tracheostomy Education
Airway Management Part 1: Episode 4

Tracheostomy Education

Play Episode Listen Later Jul 17, 2024 38:09


In this episode of the Tracheostomy Education Podcast, the hosts discuss the process of intubation and other artificial airways. They cover topics such as the first steps during a code blue, indications for intubation, contraindications to intubation, and the anatomy and physiology of the airway. They also talk about who typically performs intubation, how to choose the correct size ET tube, and the steps for intubation. Additionally, they mention subglottic ET tubes and other alternative airways like the laryngeal mask airway.https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Emergency Medicine Cases
EM Quick Hits 57 – HIV Diagnosis, Failed Paradigm of STEMI Criteria, Poisoned Patient Airway Management, Spontaneous Bacterial Peritonitis, DIY Investments

Emergency Medicine Cases

Play Episode Listen Later Jun 18, 2024 58:03


In this month's EM Quick Hits podcast: Megan Landes on the importance of diagnosing HIV in the ED, Jesse McLaren on the failed paradigm of STEMI criteria and ECG tips to identify acute coronary occlusion, Anand Swaminathan on evidence for non-invasive airway management in the poisoned patient, Brit Long and Hans Rosenberg on the identification, workup and management of spontaneous bacterial peritonitis, Matt Poyner on the most lucrative side-gig, DIY investing. To support EM Cases, please consider a donation here: https://emergencymedicinecases.com/donation/

The EMS Lighthouse Project
Ep85 - Intubation: Is More Better?

The EMS Lighthouse Project

Play Episode Listen Later Jun 10, 2024 20:32


Description:There is evidence that clinician experience with intubation is associated with improved success rates and evidence that missed intubation attempts are associated with worse survival, at least in cardiac arrest. The recent Airway EBG paper recommends EMS agencies with low intubation proficiency should use SGAs instead of intubation in cardiac arrest. This all begs the question of whether agencies who intubate more often have higher success rates than those who do not. That's exactly the question a new paper from Annals of Emergency Medicine attempts to answer. Join Dr. Jarvis for a discussion of the paper and his thoughts on how to integrate its findings into practice.Citations:1.        Jarvis JL, Panchal AR, Lyng JW, Bosson N, Donofrio-Odmann JJ, Braude DA, Browne LR, Arinder M, Bolleter S, Gross T, et al.: Evidence-Based Guideline for Prehospital Airway Management. Prehospital Emergency Care. 2024;28(4):545–57.2.        Murphy DL, Bulger NE, Harrington BM, Skerchak JA, Counts CR, Latimer AJ, Yang BY, Maynard C, Rea TD, Sayre MR: Fewer Tracheal Intubation Attempts are Associated with Improved Neurologically Intact Survival Following Out-of-Hospital Cardiac Arrest. Resuscitation. 2021;July 13;167(Oct 2021):289–96.3.        Crewdson K, Lockey DJ, Røislien J, Lossius HM, Rehn M: The success of pre-hospital tracheal intubation by different pre-hospital providers: a systematic literature review and meta-analysis. Crit Care. 2017;December;21(1):31.4.        Thomas J, Crowe R, Schulz K, Wang HE, De Oliveira Otto MC, Karfunkle B, Boerwinkle E, Huebinger R: Association Between Emergency Medical Service Agency Intubation Rate and Intubation Success. Ann Emerg Med. Published online: January 2024. doi: 10.1016/j.annemergmed.2023.11.005 (Epub ahead of print).5.        Carlson JN, De Lorenzo R: Does Practice Make Perfect, or Is There More to Consider? Ann Emerg Med. Published online: January 2024. doi: 10.1016/j.annemergmed.2024.04.019 (Epub ahead of print).

SMACC
Unrecognised oesophagael intubation - case studies from the roadside

SMACC

Play Episode Listen Later Jun 9, 2024 17:50


Matthew Humar presents 4 case studies which discuss unrecognised oesophagael intubation.  This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

SMACC
The anatomy of unrecognised oesophagael intubation

SMACC

Play Episode Listen Later Jun 7, 2024 16:09


  Tim Cook uses individual cases and analysis of the systems, processes and human factors involved in unrecognised oesophageal intubation to investigate why this tragic occurrence is still a problem around the world. He offers us some tools and advice to prevent unregognised oesophageal intubation from happening in our practice. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

SMACC
PUMA guidelines for the prevention of unrecognised oesophagael intubation

SMACC

Play Episode Listen Later Jun 6, 2024 49:46


Nicholas Chrimes, Andy Higgs and Tim Cook - three of the authors of the recently published PUMA guidelines - outline their key recommendations for the prevention of unrecognised oesophagael intubation. As a component of PUMA, these guidelines are intended for airway practitioners of all disciplines working in any context and have been endorsed by the world's major airway societies. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

SMACC
PUMA Guidelines - selected highlights

SMACC

Play Episode Listen Later Jun 4, 2024 32:54


The mission of the Project for Universal Management of Airways (PUMA) is to create a single set of airway guidelines that provide consistent guidance for airway practitioners of any discipline, in any country, in any context. Following years of development these guidelines will be released in six separate papers over the rest of 2022. In this session, two of the authors, Nicholas Chrimes and Andy Higgs, will present highlights of the papers published so far. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

SMACC
Prehospital airway management

SMACC

Play Episode Listen Later Jun 2, 2024 22:38


David Anderson describes the current state of play with airway management in the prehospital setting. There are important differences between airway management in the prehospital environment and airway management in hospital. Prehospital intubation has been practiced for over 50 years and continues to evolve, with many techniques and procedures devised from prehospital use finding their way into ED and ICU practice. The main indications for prehospital intubation are cardiac arrest and severe TBI. 3 large studies show no evidence to support prehospital intubation in cardiac arrest and this practice should probably be reserved for specific cases. Prehospital RSI for TBI remains controversial as the evidence available to date is conflicting and isn't high quality. While scene time if often commented on, there is no evidence available prehospital RSI increases time to CT or OR for patients with a severe TBI. There is no evidence that any one craft group is better at intubation than any other. In order to make prehospital airway management as safe as possible, innovations such as checklists, kit dumps and pre-drawn syringes are common. Many prehospital services invest much more heavily in the training and maintenance of airway skills than in-hospital specialties. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

SMACC
Human Factors in Airway Management

SMACC

Play Episode Listen Later May 30, 2024 83:25


Adam Rehak and Gerri Khong walk through the good, the bad and the ugly of human factors in airway management. Using video footage of a highly realistic (tachycardia inducing) simulated airway emergency, the multi-stage case discussion canvases both audience responses and the input of a panel of human factors experts: David Brewster, Brooke Dench, Ben Meadley and Ian Summers, to illustrate that airway management is far more than just a technical skill. Instead, it will become clear that success is equally dependent on careful preparation, coordinated teamwork, precise communication and effective cognitive tools. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

SMACC
Critical Care Airway Management

SMACC

Play Episode Listen Later May 29, 2024 19:01


David Brewster describes the current state of play with airway management in the critical care setting, including a summary of the INTUBE study and the Safe Airway Society guidelines for airway management in COVID-19 patients. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

SMACC
Airway Innovators 3 - Ketamine in fibre-optic airway management

SMACC

Play Episode Listen Later May 27, 2024 14:44


This discussion discusses the use of ketamine in fibre-optic intubation.  This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

Beyond The Mask: Innovation & Opportunities For CRNAs
A Groundbreaking Product to Improve Airway Management

Beyond The Mask: Innovation & Opportunities For CRNAs

Play Episode Listen Later Mar 28, 2024 41:44


Most CRNAs have come up with solutions in the operating room for airway management, but today's guest took it a step further and developed a product to address issues we face as patient body types change. Roxanne McMurray, DNP, CRNA, APRN, FAANA takes us on her journey from recognizing the urgent need for better tools to inventing a groundbreaking device, the McMurray Enhanced Airway. As patient demographics shift and sedation practices evolve, Roxanne shares the challenges anesthesia providers encounter and the creative, patient-centric solutions that are emerging. Our discussion unveils how these innovations not only enhance safety and comfort but also reflect the ingenuity that CRNAs bring to the operating table.   Here's some of what we discuss in this episode: How she came up with the idea and what it took to make it a reality. The process for developing and securing a medical patent. How products are tested to see how long they will last. Roxanne shares stories and outcomes they've experienced so far with the product being used. How this compares to CPAP devices.   About our guest: https://www.mcmurraymed.com/   Visit us online: https://beyondthemaskpodcast.com/   Get the CE Certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   Help us grow by leaving a review: https://podcasts.apple.com/us/podcast/beyond-the-mask-innovation-opportunities-for-crnas/id1440309246   Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate 

MedFlight Radio
Airway Management in Cardiac Arrest

MedFlight Radio

Play Episode Listen Later Mar 27, 2024 34:27


March of 2024 is here, and we are back at it again on MedFlight Radio and this time we are talking about airway management in our cardiac arrest patients.  We sit down with Doctor Hussam Salhi (EMS Fellow and ER Doctor) and discuss this very topic.  The conversation dives right in on some of the most common airway adjuncts used in the field from BVM, to SGA and even oral intubation.    Which is better in a cardiac arrest patient and do we have any data to back it up?   YES!!    Listen in as we discuss multiple big studies done on this very topic and see what the literature says.  Come listen in!     

The Rounds Table
Episode 82 – Airway Management in Acute Poisoning and the PALACE Trial

The Rounds Table

Play Episode Listen Later Mar 15, 2024


Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast, discuss two recent papers exploring the role of non-invasive ventilation in comatose patients after acute poisoning and the use of the PEN-FAST Score in the ... The post Episode 82 – Airway Management in Acute Poisoning and the PALACE Trial appeared first on Healthy Debate.

The Rounds Table
Episode 82 – Airway Management in Acute Poisoning and the PALACE Trial

The Rounds Table

Play Episode Listen Later Mar 15, 2024 26:33


Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast, discuss two recent papers exploring the role of non-invasive ventilation in comatose patients after acute poisoning and the use of the PEN-FAST Score in the ...The post Episode 82 – Airway Management in Acute Poisoning and the PALACE Trial appeared first on Healthy Debate.

BackTable ENT
Ep. 158 Nasal Airway Management: Evolving Practices in Diagnosis and Treatment with Dr. Nora Perkins

BackTable ENT

Play Episode Listen Later Feb 13, 2024 60:24


In this episode, Dr. Nora Perkins (Albany ENT & Allergy Services), discusses in-office procedural management of nasal airway obstruction with hosts Dr. Ashley Agan and Dr. Gopi Shah. First, the surgeons discuss the advantages of in-office procedures. Then, Dr. Perkins describes different presentations of nasal airway obstruction and their medical management. Diving deeper, Dr. Perkins shares her procedural workflow, including anesthetic protocols, her VivAer Aerin device technique, and billing considerations. Finally, the episode concludes with Dr. Perkins' advice to otolaryngologists interested in performing more in-office procedures. --- CHECK OUT OUR SPONSOR Aerin Medical https://aerinmedical.com/ --- SHOW NOTES 00:00 - Introduction 02:07 - Discussion of Nasal Airway Obstruction 08:21 - The Patient with Nasal Airway Obstruction 15:29 - Medical Management of Nasal Airway Obstruction 26:17 - The Aerin VivAer RF Ablation Device 32:12 - Anatomical Considerations and Treatment Options 35:10 - Anesthetic Protocol & Patient Comfort 47:56 - Long-term Outcomes and Quality of Life 49:42 - Billing and Insurance Considerations --- RESOURCES Dr. Nora Perkins' Albany ENT & Allergy Services Profile: https://albanyentandallergy.com/bio/nora-w-perkins/ Aerin VivAer Website: https://vivaer.com/

Central Line by American Society of Anesthesiologists
New Findings re Postpartum Hemorrhage and Pediatric Airway Management

Central Line by American Society of Anesthesiologists

Play Episode Listen Later Feb 12, 2024 28:07


Dr. Adam Striker and Dr. Alyssa Brzenski, editor for Summaries of Emerging Evidence (SEE), examine two recent studies featured in the 40A issue. Listen in as they discuss a study of the use of a prophylactic methylergonovineduring intrapartum cesarean birth, and a second study comparing the use of general anesthesia versus sedation for pediatric airway management. Recorded February 2024.

Sleep Apnea Stories
Emma at the 2024 North American Dental Sleep Medicine Symposium

Sleep Apnea Stories

Play Episode Listen Later Feb 9, 2024 20:55


Emma took a trip out of her podcast recording closet and interviewed some people in person at the NADSM Symposium in Clearwater, FL. In this episode: * Hear from oral appliance manufacturers Airway Management and Somnomed about their latest innovations. * The ‘Sleep Noodle' and how it helps with positional OSA. * How to find a well-trained dentist in your area on the new patient-facing AADSM website. https://dentalsleep.org/ https://somnomed.com/en/ https://tapintosleep.com/ https://sleepnoodle.com/ https://www.dentalsleepsolutions.com/ --- Support this podcast: https://podcasters.spotify.com/pod/show/emma-cooksey/support

Bullish
Building CARDONE CAPITAL l Ryan Tseko l Part 1 l Ep 313

Bullish

Play Episode Listen Later Jan 4, 2024 19:53


Ryan Tseko is the Executive Vice President of Cardone Capital, a fund that manages over $1.4 billion in their portfolio. He has completed over $2.5 billion of acquisitions, secured over $1.7 billion of debt financing, and is actively involved in launching each of the fund's investment vehicles. Ryan holds a B.S. in Aviation and Airway Management from Utah Valley State University.

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.
Sodium and Blood Pressure, Airway Management in Acute Poisoning, Review of Foot and Ankle Conditions, and more

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.

Play Episode Listen Later Dec 19, 2023 15:51


Editor's Summary by Karen E. Lasser, MD, MPH, Senior Editor of JAMA, the Journal of the American Medical Association, for the December 19, 2023, issue. Related Content: Audio Highlights

EMS Today
Non-Respiratory Disease Pathologies That May Complicate Airway Management

EMS Today

Play Episode Listen Later Nov 6, 2023 18:36


Respiratory distress is one of the most common emergencies resulting in a 911 call. Whether it be an asthma attack, chronic obstructive pulmonary disease (COPD) exacerbation or complication of pneumonia, difficulty breathing is a symptom that prehospital providers encounter quite frequently. Most patients that call for emergency medical services for breathing problems have known-disease pathologies that are respiratory in nature. For example, patients with asthma, an obstructive pulmonary disorder, often present with chest tightness, wheezing and difficulty breathing. Nebulized albuterol and supplemental oxygen are normally first-line interventions for the typical asthma attack. Providers understand the mechanism of action for those medications since they aim to correct the impaired respiratory processes as a result of disease. Read the full article here.

Sleep Apnea Stories
121 - Dr. Steve Carstensen - A Deep Dive on Oral Appliance Therapy for Obstructive Sleep Apnea

Sleep Apnea Stories

Play Episode Listen Later Oct 25, 2023 52:48


Emma is joined by Dr. Steve Carstensen, a dentist and dental sleep medicine educator/trailblazer. In this episode: Steve talks about how he first discovered oral appliance therapy and got interested in the field of sleep-disordered breathing. The type of patients Steve has seen do really well with oral appliance therapy in his practice. Emma asks Steve whether there is a place for an interim, non-custom appliance such as over-the-counter 'boil and bite' devices or the myTAP from Airway Management. How to find a well-trained dentist to make a custom oral appliance. Steve talks about the work he is doing to identify kids with airway issues so they can receive treatment earlier to prevent health problems like sleep apnea later in life. Steve's Dental Sleep Practice magazine and how it can help dentists get involved with dental sleep medicine training. Connect with Steve: https://www.premiersleepassociates.com/ https://www.instagram.com/stevecarstensendds/ https://www.facebook.com/premiersleepassociates https://dentalsleeppractice.com/ Connect with Emma: Get on the email list ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠ Follow the podcast on Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠@sleepapneastories⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Email Emma at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠sleepapneastories@gmail.com⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.sleepapneastories.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠ *NEW* - Order "The 6-Week CPAP Solution Workbook" by Emma Cooksey now! I took everything I know about CPAP and solving CPAP problems and I put it all in a short, easily accessible workbook for new and struggling CPAP users. ⁠⁠⁠⁠⁠⁠Click here⁠⁠⁠⁠⁠⁠ in the US or search your Amazon store for the title in your country. Disclaimer: This podcast episode includes people with sleep apnea discussing their experiences with medical procedures and devices.  This is for information purposes only and you should consult with your medical professionals before starting or stopping any medication or treatment. --- Support this podcast: https://podcasters.spotify.com/pod/show/emma-cooksey/support

Anesthesia Patient Safety Podcast
#172 Difficult Airway Management Revisited

Anesthesia Patient Safety Podcast

Play Episode Listen Later Oct 17, 2023 27:05 Transcription Available


Welcome to the next installment of the Anesthesia Patient Safety podcast hosted by Alli Bechtel.  This podcast is an exciting journey towards improved anesthesia patient safety.We are returning to episodes #113 and #114 to talk about difficult airway management guidelines. Tune in as we discuss the pre-airway management decision making tool, steps for proceeding with awake airway management, and the emergency pathway for airway management after induction when ventilation is not adequate. Plus, we're going through the pediatric difficult airway management algorithm too. Spoiler alert: It is critical to deliver oxygen and optimize oxygenation through the airway management process and limit the total number of attempts.Additional sound effects from: Zapsplat.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/172-difficult-airway-management-revisited/© 2023, The Anesthesia Patient Safety Foundation

Pediatrica intensiva: Art & Science of Pediatric Critical Care

Airway Management remains the single highest risk time for our patients in pedsICU & pedsCICU. We've known about problems for long time, but finally gaining attention, new ways of thinking & new ways to use drugs & devices- there's a lot more gray then there used to be. We'll discuss resuscitation and airway management in child with cardiac disease or hemodynamic instability, introduce the concept of the resus spiral staircase and talk about how you can optimize your team, respiratory support and hemodynamics. We cover delayed sequence intubation and that not every patient needs a tube and not every patient needs a tube right now. With better drugs and devices like dexmedetomidine and non-invasive, we've actually opened up a big zone between no support and invasive ventilation. We'll discuss ECMO standby when, how, who, and then finally de-resuscitation and extubation or separation from support. This was a really big episode, so we've split it into two. The first half covered the resus spiral, team management, equipment & environment. In this second episode, we will go into respiratory and hemodynamic support, rescue strategies, including ECMO and finally extubation. Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkids No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

Always On EM - Mayo Clinic Emergency Medicine
Grand Rounds - Dr. Alex Niven - Difficult airway management, an intensivist's perspective

Always On EM - Mayo Clinic Emergency Medicine

Play Episode Listen Later Sep 14, 2023 60:47


In this chapter, Dr. Alex Niven, renowned critical care physician and educator, provides a mirror for us to see our current state of emergency airway management - for its opportunities for improvement, innovations and best practices. This evidence fueled presentation is a must-listen for any emergency healthcare physician or provider. CONTACTS Youtube -https://www.youtube.com/@AlwaysonEM  X - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com

Emergency Medical Minute
Episode 868: Airway Management in Obesity

Emergency Medical Minute

Play Episode Listen Later Sep 11, 2023 3:42


Contributor: Aaron Lessen MD Educational Pearls: Why is airway management more difficult in obesity? Larger body habitus causes the chest to be above the head when the patient is lying supine, creating difficult angles for intubation. Reduced Functional Residual Capacity (FRC) causes these patients to deoxygenate much more quickly, reducing the amount of time during which the intubation can take place. What special considerations need to be made? Positioning. The auditory canal and sternal notch should be aligned in a horizontal plane. Do this by stacking blankets to lift the neck and head. Also, try to make the head itself parallel to the ceiling. Pre-oxygenation. Use Bi-level Positive Airway Pressure (BiPAP) with Positive End Expiratory Pressure (PEEP) or a Bag-Valve-Mask (BVM) with a PEEP valve. PEEP helps prevent alveoli from collapsing after every breath and improves oxygenation. Dosing of paralytics. Succinylcholine is dosed on total body weight so the dose will be much larger for the obese patient. Rocuronium is dosed on ideal body weight, but adjusted body weight may also be used in obese cases.  References De Jong A, Wrigge H, Hedenstierna G, Gattinoni L, Chiumello D, Frat JP, Ball L, Schetz M, Pickkers P, Jaber S. How to ventilate obese patients in the ICU. Intensive Care Med. 2020 Dec;46(12):2423-2435. doi: 10.1007/s00134-020-06286-x. Epub 2020 Oct 23. PMID: 33095284; PMCID: PMC7582031. Langeron O, Birenbaum A, Le Saché F, Raux M. Airway management in obese patient. Minerva Anestesiol. 2014 Mar;80(3):382-92. Epub 2013 Oct 14. PMID: 24122033. Sharma S, Arora L. Anesthesia for the Morbidly Obese Patient. Anesthesiol Clin. 2020 Mar;38(1):197-212. doi: 10.1016/j.anclin.2019.10.008. Epub 2020 Jan 2. PMID: 32008653. Singer BD, Corbridge TC. Basic invasive mechanical ventilation. South Med J. 2009 Dec;102(12):1238-45. doi: 10.1097/SMJ.0b013e3181bfac4f. PMID: 20016432. Summarized by Jeffrey Olson, MS2 | Edited by Jorge Chalit, OMSII  

Real Estate Investing – Live from New York
Stepping Up with Ryan Tseko

Real Estate Investing – Live from New York

Play Episode Listen Later Aug 1, 2023 54:46


You'll gain incredible insight on how to jump in, surround yourself with high performers, and communicate in this conversation with Ryan Tseko. Ryan is the Executive Vice President at Cardone Capital in the Miami metro area and has completed acquisitions with a transaction value of over $2.9 billion, secured more than $1.9 billion of debt financing, and has been actively involved in launching every investment vehicle for the company. He holds a B.S. in Aviation and Airway Management from Utah Valley State University.    Growing up, Ryan observed his uncle, who was a builder and gave him a job at the age of 13. While Ryan had an interest in real estate from early on, he decided to begin his career as an airline pilot and continued that trajectory for 10 years. During this time, he also invested in real estate, building up a portfolio of 21 units.     He discovered Grant Cardone, a renowned business expert and real estate investor, on YouTube, and wanted to get involved with him to pursue his real estate goals. Ryan called the front desk of the company to ask for a job interview, and soon was working alongside Grant every day. He spent the next years learning the day-to-day work of real estate, as he did weekly calls with properties to track performance, carried out due diligence, and ultimately worked through every vertical. He went on to help build teams and expand the real estate business to move deals faster. “Partnerships aren't just internal—they're external and they're powerful,” he says.   Over the next years, Cardone Capital expanded from 200 investors to more than 13,000. Amid that growth, Ryan and his team wanted to prioritize investor relationships. “More than 90% of our investors have talked to a real live person in our office,” he says.   Today, Cardone Capital acquires and manages real estate properties with a focus on both near-term income generation and long-term value creation. It aims to provide everyday investors with access to institutional-grade real estate deals. Since 2016, it has raised more than $1 billion across 22 funds. Its portfolio consists of more than 12,000 multifamily units across 36 multifamily properties along with over 500,000 square feet of commercial office space.   Ryan cites parallels between aviation and real estate, including the value of being trainable, having checklists, and following processes and procedures. When flying, he says, “there's a rhyme and reason for everything, and I truly believe the same for real estate.”   You can connect with Ryan through Instagram, YouTube, and also visit Grant Cardone's YouTube channel, Cardone University, and the company website Cardone Capital.   I'm always happy to connect with listeners—you can find me online at: My website: JamesNelson.com LinkedIn: JamesNelsonNYC Instagram: JamesNelsonNYC  Twitter: JamesNelsonNYC My Real Estate Weekly articles: REW-online.com/author/jamesnelson My Forbes.com articles: Forbes.com/sites/jamesnelson

The Anesthesia Thrive Guide
Airway Management

The Anesthesia Thrive Guide

Play Episode Listen Later Jul 21, 2023 6:45


The "A" in the anesthesia ABCs is "Airway" so this podcast will introduce you the nuts and bolts of airway management. Get ready to learn about each of the common devices and how to be helpful when placing such devices down the patients' airways.

Med Inspired
Airway Management with Dr. Jim Ducanto

Med Inspired

Play Episode Listen Later May 28, 2023 58:54


In this episode I sit down with anesthesiologist, inventor, and master educator Dr. Jim Ducanto for an insighful look at airway management today. We discuss all things airway including the SALAD technique, VL vs DL, airway positioning, and his approach to airway education. 

Beyond The Mask: Innovation & Opportunities For CRNAs
Ep 246: POCUS of the Cricothyroid Membrane

Beyond The Mask: Innovation & Opportunities For CRNAs

Play Episode Listen Later May 9, 2023 31:05


Emergency cricothyrotomy is a rare, but incredibly important procedure that can be lifesaving. A primary step when performing a cricothyrotomy is correct identification of the cricothyroid membrane (CTM).  In this episode Jeremy and Sass discuss the anatomy related to the CTM. They talk about palpation methods for finding the CTM, discuss current evidence for the use of ultrasound identification, and break down the ultrasound techniques that are useful in clinical practice. This is the podcast that will excite you to use POCUS for identification of the CTM!   Here are some of the things you'll learn on this show: Understanding and identifying the anatomy. 2:21 The two most effective ways to find the cricothyroid membrane. 8:32 A couple of relevant studies that provide good information. 12:45 The ultrasound procedure to help identify it. 17:19 The educational resources that Jeremy recommends. 21:48 The String of Pearls technique. 22:40   Show Notes & Resources: Kristensen MS, Teoh WH, Rudolph SS. Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. Br J Anaesth. 2016 Sep;117 Suppl 1:i39-i48. doi: 10.1093/bja/aew176. Epub 2016 Jul 17. PMID: 27432055. Rai Y, You-Ten E, Zasso F, De Castro C, Ye XY, Siddiqui N. The role of ultrasound in front-of-neck access for cricothyroid membrane identification: A systematic review. J Crit Care. 2020 Dec;60:161-168. doi: 10.1016/j.jcrc.2020.07.030. Epub 2020 Aug 13. PMID: 32836091. Journal of Anaesthesia, Volume 117, Issue suppl_1, September 2016, Pages i39–i48, https://doi.org/10.1093/bja/aew176 Hung KC, Chen IW, Lin CM, Sun CK. Comparison between ultrasound-guided and digital palpation techniques for identification of the cricothyroid membrane: a meta-analysis. Br J Anaesth. 2021 Jan;126(1):e9-e11. doi: 10.1016/j.bja.2020.08.012. Epub 2020 Sep 28. PMID: 32896429. Kristensen MS, Teoh WH. Ultrasound identification of the cricothyroid membrane: the new standard in preparing for front-of-neck airway access. Br J Anaesth. 2021 Jan;126(1):22-27. doi: 10.1016/j.bja.2020.10.004. Epub 2020 Oct 31. PMID: 33131758. Siddiqui N, Arzola C, Friedman Z, Guerina L, You-Ten KE. Ultrasound Improves Cricothyrotomy Success in Cadavers with Poorly Defined Neck Anatomy: A Randomized Control Trial. Anesthesiology. 2015 Nov;123(5):1033-41. doi: 10.1097/ALN.0000000000000848. PMID: 26352376. Airway Management for Anaesthesiologists. Ultrasound guided marking of the cricothyroid membrane using: Transverse TACA Technique: https://airwaymanagement.dk/ultrasound_needle_cricothyrotomy Longitudinal “String of Pearls” Technique: airwaymanagement.dk/pearls     About our hosts: https://kpatprogram.org/about-the-school/faculty.html  Visit us online: http://beyondthemaskpodcast.com  Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf