I recently got an email from the creators of a new approach to airway management
What these two gentlemen have crafted is a paradigm called the vortex approach. It is best represented by this diagram:
And here are versions with even more information:
I could write about the method, but to do it true justice, it is better to watch this video:
The Shock Trauma Algorithm
Now you folks know I am partial to a modified-version of the Shock Trauma Algorithm for Failed Airway Management. It is bar none the simplest, most effective (and validated) algo I have come across. Or at least it was until I started parsing the Vortex Approach. The reason is that the Vortex Approach encompasses the STC algorithm in a way that is universal to all specialties and settings.
Nicholas and Peter wrote a free ebook about the concept, which is available in a number of formats.
They also have a website set up for the Vortex Approach as well as other projects on their Clinical CrEd Site. The Vortex site also has videos demonstrating the approach in action in both an emergency department and operating theater intubation.
Minh Le Cong did an interview with the two of them on his PHARM podcast site that is definitely worth a listen.
Apps I Liked
I was sent free evaluation copies of 2 IOS applications:
- The IOS version of PressorDex from the EMRA folks. The pocket-book was good; the app is even better.
- An application listing the most important critical care papers and a short summary of their impact. The app is called ICU Trials by Sean Kane. The link goes to the free lite version; if you like it buy the full version.
Now on to the Wee…
- 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