EMCrit 268 – COVID Airway, Cardiac Arrest, Some Ethical Questions, etc.

"Triple C" Circuit Disconnects

May be even higher risk than intubation if you do it wrong

Confer

Preplan with your partner

Clamp

Either non-marring clamp or clamp around 4x4 or tape on ETT (if disconnecting proximal to viral filter, than you can ignore the clamp)

Cut Flow

Put the vent in standby or disconnect the inspiratory limb

EMCrit CPAP Set-Up without the NC

See the Video

Here is a Pict

Here is a Pict with the 22mm OD Male-to-Male Connector and Corrugated Tubing

Better way to use the 3-way Stopcock

I showed in the video that you can use O2 tubing with 3-way stopcock but there is a clean oxygen leak. Bill Murphy, medic extraordinaire, wrote me with a better way. Cut off the fat part of the O2 line. You need to test with your hospital's lines to find out the best place to cut, but once you get rid of protrusion, you can make a tight connection without the multipurpose tube to luer adaptor.

Video Proving that BVM alone doesn't supply enough forward flow

and that even on flush-rate doesn't provide dangerous flow to patient to cause aerosol

Cardiac Arrest

Your safety then their safety

Safer Airway Society Guidelines

By all my SMACC airway buddies

Prepress Version

There is also a link to the article as well as printable infographics at the SaferAirways Site

Now on to the Podcast...