A couple of things on airway that may be of interest.
But Remember that Sux Sucks (Succinylcholine Contraindications)
Dr. Laurence Boss of Oxy's Log produced a great slide for when sux is and isn't safe to use. Of course I can't leave well enough alone, so I modified a bit (with permission) and here it is:
here is a fantastic review article on the subject for those of you who just can't get enough.
This in-press editorial is interesting and IMHO comes to false conclusions (Jacknin, G et al. Succinylcholine in an ED patient with unanticipated hyperkalemia: a case report and brief review of the relevant literature. Am J Emerg Med. 2016 Mar 8. PMID: 27021128)
Then Bill Hinckley advanced the ideal of ED/Crit Care Airway Management:
DASH-1A (Definitive Airway Sine Hypoxemia on 1st Attempt)
Note: Bill uses the word Sans, but why support the French : )
This encompasses what we really want 1st pass success, but without the sat dropping below 90%. He posted the video below on Minh's site:
Then Yen Chow updated the concept:
George Kovacs has a similar goal:
How about a goal of 90s: a 90% 1st attempt success rate, with saturations over 90% and a SBP greater 90 mmHg within 90 seconds (blade in to + EtCO2).
- EMCrit Wee – Webinar I Gave to Pulm/Crit Care Fellows on Avoiding Intubation and Initial Ventilation of COVID19 Patients - April 4, 2020
- EMCrit 269 – Rationing of Critical Care and Ventilators in COVID19 with Reub Strayer - March 31, 2020
- EMCrit Wee – Stop Kneejerk Intubation with the EMCrit Crew - March 30, 2020