d-loop Bougie and a King Vision enabled Mac 4 laryngoscope from Jim DuCanto

d loop Pocket Bougie and MacGyver King Vision enabled Mac 4

Our good friend Jim DuCanto continues to innovate and experiment with airways. Here is his newest idea to help manage tube delivery with shorter bougies in an efficient manner: the “d-loop”!

This method is a bit different from the “d-grip” method that is shown here. I am still partial to the “d-grip” for the single operator deploying of tube delivery. It is a bit simpler and does not require the intubator to shift hands to the proximal end of the endotracheal tube to release the “d-loop” and reinsert the endotracheal tube connector end. Both techniques however are slick ways of having your tube and bougie preloaded in one package for rapid tube delivery and depends on your preference, what you practice and the team around you.

d-loop Pocket Bougie configuration

d-loop Pocket Bougie configuration

Pocket Bougie D grip configuration

Pocket Bougie D grip configuration

Very interesting too is the “MacGyver” King-Vision enabled Mac 4 laryngoscope!

Mac 4 laryngoscope with a King Vision video module attached to the blade

Mac 4 laryngoscope with a King Vision video module attached to the blade

Go Jim!!!!! See you at SMACC Chicago!

– Yen @TbayEDguy


Filed under: airway, Emergency anaesthesia, Emergency medicine and critical care, FOAMEd, Interviews of interesting people Tagged: airways, bougie, ducanto, King Vision, VL

Soft neck collar to replace hard – times are a changin!

image from http://www.actimed.com.au/images/products/collar.jpg (no conflicts of interest exist)

We have posted about this growing controversy of prehospital cervical spine neck collars previously since last year, when UK prehospital faculty published a consensus statement , highlighting lack of evidence for hard neck collars and raising concerns of harm being done. Since then Norwegian and Dutch ambulance protocols have shown signs of change to modify or even eliminate the use of hard neck collars in prehospital setting.

Via my PHARM network I had heard in my own state of Queensland, Australia, that one Brisbane hospital/ED had changed to using soft neck collars and remarkably that the QUeensland Ambulance Service was planning to remove all hard neck collars and replace with soft neck collars.

When the QAS SOP and EBM review are published online by QAS/Queensland Health I will post it up but its clear the decision has been made and rollout implementation will be soon underway. For now most QAS units still  use hard neck collar as per current SOP but the soft neck collar SOP will be phased in, in near future.

To be honest, whilst seemingly radical decision, I support it fully!

Times are a changin!

Whats your opinion?

 


Filed under: Prehospital medicine Tagged: hard, neck-collars, soft

The Elaine Bromiley case – “That others may learn, so that others may live”


One of the greatest FOAMEd projects I have ever seen come to fruition, please thank Dr Nicholas Chrimes and Martin Bromiley for their tireless endeavours into human factors and improving patient safety.
Check out Nick’s education site here for more information on this video recreation.


Filed under: airway, Emergency anaesthesia, Emergency medicine and critical care, FOAMEd, Interviews of interesting people, Online critical airway training Tagged: airway, elaine-bromiley, human-factors

The Elaine Bromiley case – “That others may learn, so that others may live”


One of the greatest FOAMEd projects I have ever seen come to fruition, please thank Dr Nicholas Chrimes and Martin Bromiley for their tireless endeavours into human factors and improving patient safety.
Check out Nick’s education site here for more information on this video recreation.


Filed under: airway, Emergency anaesthesia, Emergency medicine and critical care, FOAMEd, Interviews of interesting people, Online critical airway training Tagged: airway, elaine-bromiley, human-factors

Retrieval registrar WANTED! – RFDS Cairns

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RFDS Cairns is looking for  retrieval registrars for ACEM & ACRRM accredited posts

here is the job position

Unique learning opportunities with this retrieval medicine post include :

  1. Remote medicine experience/training with Indigenous health
  2. Fixed wing and rotary wing aeromedical retrieval work
  3. Research project assistance

Previous registrars have published the following papers under my guidance

Case report of ketamine sedation during aeromedical retrieval

Description of an Assembled Noninvasive Capnography Setup

Cape York and the area around Cairns is some of the most stunning country/landscape in Australia. Enjoy flying over this beauty during your shift!

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Filed under: Aeromedical retrieval