Jan 5, 2016
Summary by: Thomas Dolven
To handle airways means being prepared to handle them all the way. You need to be prepared for a cannot intubate cannot oxygenate CICO scenario. The common, final end point of airway management in a is the emergency surgical airway, the cricothyroidotomy.
So how to prepare?
Often, it is not being taught right. This is a rare procedure under
high stress and time sensitive. And most importantly, it is a
bloody procedure that will be blind. You cannot use your eyes. So
it needs a simple technique without fine motor skills, and it must
be tactile. Your finger is the perfect tool for this task, and will
guide you through it. The video of my personal real world
experience is backed by available empirical evidence and lab
training. There will never be an RCT, this is the best evidence we
will have. So read NAPP4 and the case series article on the
scalpel-finger-tube technique.
Read these available articles, train, and remember these two key
points:
1) There will be blood. But that’s OK, because.
2) Your finger can see.