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THE EMERGENCY AIRWAY
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CHECKLIST TABLE 2 Intubation Checklist 1. Ensure ABC’s
2. Access airway 3. Prepare equipment 4. Patient at proper position 7. Scope inserted 8. Tube inserted 9. Confirm placement
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CHECKLIST CONTINUED 10. Inflate bulb 11. Release cricoid pressure
12. Secure tube
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NON INVASIVE TABLE 1 Noninvasive and Invasive Airway Techniques
Non-invasive Airway Management • Nasal/Mask • Bag–Valve–Mask • CPAP/BIPAP
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INVASIVE Invasive Airway Techniques ET Intubation
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INVASIVE OTHER THAN INTUBATION
DIGITAL, STILL AN OPTION IF TRAINED. EMERGENCY CRICH KITS
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PREPARE ALL EQUIPMENT
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CRICHOTHYROTOMY
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CRICHOTHYROTOMY ANATOMY
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ANATOMY
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CRICHOTHYROTOMY INDICATIONS
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CRICH INDICATIONS CONT.
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MORE
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CONTRAINDICATIONS
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COMPLICATIONS
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ONE STEP KITS!
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SIMPLE AND QUICK
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BREATHING RED FLAGS TENSION PNEUMOTHORAX FLAIL CHEST
PULMONARY CONTUSIONS NUMEROUS RESPIRATORY FAILURES
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TENSION PNEUMOTHORAX DIAGNOSIS IS CRITICAL.
DO NOT WAIT FOR THE ER TO GET AN X-RAY. WATCH FOR NO BREATH SOUNDS. HYPOTENSION OR JVD.
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FLAIL CHEST
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CASE #2 RESPIRATORY FAILURE FROTHY SPUTUM JVD & EDEMA POX=66%
CAN’T PROTECT AIRWAY TREATMENT?
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CASE #3 60 YEAR OLD ALS PATIENT
FOOD BOLUS STUCK IN POSTERIOR PHARYNX AND PRESSED INTO VOCAL CORDS. TREATMENT.
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