Incision of the skin and cricothyroid membrane to establish a clear airway
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Paramedic Dylan Kessler shares the story of performing his first surgical cricothyrotomy on a (barely) live patient under less than ideal circumstances. Live Demo of Cricothyrotomy Procedure (YouTube) Cadaver Demo of Cricothyrotomy Procedure (YouTube) KP Website Support the Show Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic Outro music: "That's Why" Composed by SMSgt John Henley Performed by USAF Concert Band Heritage to Horizons
Cricothyrotomy is what's known as a High Acuity Low Occurrence (HALO) procedure. Meaning anesthesia providers do not often perform this procedure, but when the clinical situation calls for a cricothyrotomy…it can be extremely stressful! In this episode, Jeremy reviews the anatomy of the larynx, talks about preparation for the procedure itself, and then goes over a surgical cricothyrotomy technique called the Bougie-Assisted Cricothyrotomy (otherwise known as Scalpel-Finger-Bougie). This is certainly one episode you will not want to miss! Here are some of the things you'll learn on this show: A last-ditch effort to provide life-saving ventilation. 4:11 Reviewing the anatomy first. 7:25 Identifying the cricothyroid membrane. 12:27 The potential hardest part of the procedure. 14:26 Walking through the surgical cricothyrotomy technique. 15:51 Things to keep in mind if you're ever doing this procedure. 23:34 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 We're excited to share that Beyond The Mask has been recognized in the 18th Annual People's Choice Podcast Awards. We're nominated in two prestigious categories: the coveted 'People's Choice Award' and 'Best Healthcare Podcast.' We're asking you to vote for us in the People's Choice Podcast Awards. Your vote not only helps us win but also spreads the word about our mission to demystify our corner of the healthcare industry, one story at a time. Cast your vote here: https://www.podcastawards.com/
Question-based and quick review of important subject of patients in need of invasive active airway intervention (as opposed to those who benefit from non-invasive intervention or those who just need supplemental oxygenation without a need for active airway). We discuss endotracheal intubation (including crash intubation, RSI, Elective ETI) and we discuss alternatives including crycothyrotomy versus long-term surgical airway indication (i.e. Tracheostomy).
It's the EM resident's responsibility to learn and perfect the basics of the airway - including those difficult cases. On this episode of EMRA*Cast, host Matt Dillon, MD, shares insight and 4 key lessons from Colin McCloskey, MD, board-certified in both anesthesiology critical care medicine and emergency medicine.
EMS A to Z: Case Series – Cricothyrotomy Show Notes: From your hosts, Dr. Josh Gaither, Dr. Amber Rice, and Dr. Rachel Munn Indications: Cricothyrotomy is indicated in the “can't oxygenate, can't ventilate” scenario Conditions that may cause this scenario may include: Airway obstruction (foreign body) Facial trauma Airway edema Head/neck malignancy Difficult airway anatomy Equipment: A commercial kit Individual components ETT (size 6) or tracheostomy tube Scalpel Bougie / forceps Securing device / tape Procedure: Palpate cricothyroid membrane Vertical incision through the skin Vertical, followed by horizontal incision through the cricothyroid membrane Insert digit, bougie, or forceps into the trachea Insert ETT or tracheostomy tube Inflate balloon Confirm placement with auscultation, ETCO2 Ventilate Contraindications: Pediatric patients
If we harness the experiences of hundreds of colleagues who have managed the same rare clinical event we would discover what works, what doesn't and why. For more head to: codachange.org/podcasts
Dr. Scott Weingart joins us on Rounds to discuss a topic that's of great interest to the both of us - surgical cricothyroidotomy. Tune in to hear how Scott's approach to performing a cric has evolved over time and why "trauma surgeons are the worst people to learn crics from?!" From 3 strikes and your out to the use of bougies, this episode covers all things cric.Also check out Episode 23 of Rounds "Surgical Cricothyroidotomy: How I Do It". Even better go to: https://emcrit.org/emcrit/surgical-airway/ and review the FANTASTIC content that has been put together by Scott and his team at EMCrit.
Knife. Finger. Tube. Sounds simple enough. And you read correctly....a bougie is both unnecessary and superfluous! In this episode I share you some tricks of the trade for performing a cric successfully, together with post-surgical airway considerations including hemorrhage control and the decision to convert to a formal tracheostomy.
In this episode of Danger Zone, our hosts examine a relatively rare procedure performed in the ED – the Surgical Airway! They discuss indications, procedural considerations, and important clinical pearls.
In this episode of Danger Zone, our hosts examine a relatively rare procedure performed in the ED – the Surgical Airway! They discuss indications, procedural considerations, and important clinical pearls.
Lessons learned from teaching hundreds of people to cric
In this Quick Hits Podcast: David Juurlink on acetaminophen and warfarin drug interaction, Hans Rosenberg on management of dental infections, Emily Austin on dialysis in massive acetaminophen overdose, Andrew Petrosoniak on MTP decisions and the RABT score in trauma , Joel Yaphe on statins for STEMI from Whistler's Update in EM Conference, and George Kovacs on how to maximize success of a cricothyrotomy from EM Cases Course 2019... The post EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips appeared first on Emergency Medicine Cases.
Using a case-based approach, Dr. Calvin Brown discusses four research studies focusing on supraglottic airways, VL v. DL in cardiac arrest, and finding the cricothyroid membrane.
In anticipation of EM Cases Episode 110 Airway Pitfalls Live from EMU 2018 with Scott Weingart, we have Dr. Shira Brown tell her Best Case Ever of a pediatric trauma patient who required a cricothyrotomy. She explains how, despite working in a non-trauma center with limited resources, her team was well prepared because of the robust simulation program specifically designed for practicing emergency physicians that she had developed in her region. We also discuss the advantages and disadvantages of the scalpel-Bougie vs scalpel-finger-Bougie cricothyrotomy techniques and to maintain an optimistic attitude in seemingly futile cases... The post BCE 71 Cricothyrotomy and the Value of Simulation Training appeared first on Emergency Medicine Cases.
In this episode, we cover the New York Times article, "What Comes After The Heimlich Maneuver" and Dr. Seth Trueger's take on this article, "Bad Idea Jeans." The take home message - cricothyrotomies should be done by experts and we should probably traine ourselves for these a little better. Then, we cover core content pearls on tracheostomy emergencies and a quick summary of infections in or near the trachea. Visit foamcast.org for more as well as generously donated Rosh Review questions. Thanks y'all! -Jeremy Faust and Lauren Westafer
An amazing surgical airway case
Scott Weingart unveils his mantra for the surgical airway, whilst exploring its vital role and the stigma surrounding it.
Today is the third anniversary of the EM Basic podcast. To celebrate this milestone, this is a screencast titled "Airway Update". I first prepared this lecture about two years ago for a conference but the topics are still relevant today. This will be most useful for medical students and EM interns who may not have been exposed to these airway topics. This screencast will help catch you up on what we have been talking about over the last two years on social media and FOAMed. We'll review apenic oxygenation, delayed sequence intubation, how to effectively use ketamine in your practice, awake cricothyrotomy, and more.
Darren Braude, Aiway and EMS master from New Mexico demonstrates the use of a bougie to make the cric procedure MUCH easier. For more great Braude magic, see his site at airway911.com.