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Category Airway

If the lights go out…

If the light on the laryngoscope fails, clean contact between blade and handle, check bulb is screwed in place securely. If this fails, use a spoon
CCC Critical Care compendium 340

Bimanual laryngoscopy

Bimanual laryngoscopy using external laryngeal manipulation (ELM) is the single most practical and effective airway management technique for facilitating intubation during direct laryngoscopy.
cricoid-pressure-memo-John-Hinds 340

Cricoid: To Press or Not to Press?

Just in case you still thought cricoid pressure was a good idea, listen John Hinds at smaccGOLD. Hinds was an anaesthetist, intensivist and a motorcycle-riding prehospital resuscitationist based in Northern Ireland. In this debate he will tell you about ‘cricolol‘.…

an abominable airway…

the case. a 28 year old male presents to your Emergency Department with a 2-3 week history of increasing neck swelling. He is now spitting out frank purulent discharge from his mouth and reports fevers and night sweats.

a knackered neonate…

the case. You are working in a district hospital and are called to the Special-Care Nursery to assist with an unwell newborn infant. She was born 2 hours ago at 39 + 4 weeks gestation, to a primip mother who…

better late than never…

The case. An obese 86 year old female is bought to ED by private car with a 5-6 day history of progressive dyspnoea and fevers. She is promptly rushed into the resus bay in extremis with cyanosis & poor respiratory…

a swollen face…

The Case. A 36 year old male presents through your sub-acute area with increasing facial pain & swelling. He reports a simple trip and fall 18 hours earlier (no alcohol on board, recalls all events), where his right cheek struck…

a difficult airway…

The Case. The ‘Batphone’ alerted us of a 68 year old female who is postictal following two seizures in rapid succession. She has a history of ‘a brain tumour’. P 120. BP 176 systolic !! GCS 8 Afebrile. Sats 98%…

just a tablespoon…

This is the story of a 59 year old man who presented to our ED with a complaint of haemoptysis. He is otherwise well, takes no regular medications and besides his ’50 per day’ smoking history (over 40-odd years) he…