Airway Doctor Two minute training Airway Doctor Airway manoeuvres and adjuncts Nasal prongs 15L/min Bag Valve Mask (Ambu Bag) + 15L/min +/- ventilate 2-person.

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Presentation transcript:

Airway Doctor Two minute training Airway Doctor Airway manoeuvres and adjuncts Nasal prongs 15L/min Bag Valve Mask (Ambu Bag) + 15L/min +/- ventilate 2-person technique Position patient for intubation Check-in with Airway Assistant and Drug Administrator Consider Advanced equipment? Bougie use? Cricoid pressure? Drugs? Emergency algorithm mobilesim

Two minute training Airway Assistant Help squeeze bag as required Waveform capnography Suction Prepare and check airway equipment Cricoid pressure Help attach ETCO2 and BVM Secure tube/LMA/Cric Airway Assistant mobilesim

Two minute training Defib Driver Get resus trolley Attach pads: anterior/apical Set dial to ‘Defib’ Charge and shock/dump charge every cycle SAFE DEFIBRILLATION: talk to Airway Doctor and Compressors Continue compressions Oxygen Away Charging Hands off mobilesim

Two minute training Drug Administrator Check IV access (CVC if available) Take ABG or VBG (if no art line) Check drugs with Drug Dispenser Give drugs as directed by Nursing Team Leader and Airway Doctor Announce drugs and doses Flush drugs in with pump set mobilesim

Two minute training Drug Dispenser Prime pump set 1L NaCl Prepare / label Adrenaline 1mg x 5 Metaraminol 10mg/20ml Other drugs as requested Check drugs with Drug Administrator Check out S8s with Runner Make up infusions mobilesim

Two minute training Compressor 100/min, 5cm deep Continuous if ETT or LMA 30:2 if bag/mask Swap out every 2 mins Be ready to swap back in with ZERO HANDS-OFF TIME Continue compressions during charge Listen to the Defib Driver mobilesim

Two minute training Scribe Announce each 2 minute time interval Ensure at least the Nursing Team Leader has heard you Help Nursing Team Leader with algorithm Record events on U2MA Things to record: CPR Rhythm / shocks Drugs and doses Fluids Procedures and interventions Important decisions and events mobilesim

Two minute training Runner Get drugs and equipment Get ABG/VBG from Drug Administrator, put through machine, give result to Medical Team Leader Make phone calls Sign out S8 drugs with Drug Dispenser Swap in to any position if asked mobilesim

Two minute training Medical Team Leader Announce that you are Medical Team Leader Assess team skill mix Allocate doctors to roles Assess situation 4 Hs and 4 Ts Call the relevant teams Arrange: imaging/procedures/disposition mobilesim

Two minute training Nursing Team Leader Announce that you are Nursing Team Leader Assess team skill mix Allocate nurses to roles Algorithm (and 4Hs 4Ts) Assess rhythms with Defib Driver before shock/dump Adequate CPR? mobilesim