The bougie (tracheal tube introducer) is valuable for patients with difficult airways or after failed intubation attempts. Recent clinical reports demonstrate  improved first attempt success when the bougie is used for all patients, regardless of difficulty level. This is especially true if the intubator has incorporated bougie use into their routine clinical practice. The bougie is a simple, intuitive device, but knowledge of a few key techniques is required.

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

A review of Rapid Sequence Intubation from the original description via the latest evidence to the latest modifications. What remains the same and what has changed?

Learning objectives for this talk:

• Describe the original/classic RSI
• Understand when it is indicated and how that has changed recently
• Appreciate the key modifications to the classic RSI based on recent evidence

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

A review of Rapid Sequence Intubation from the original description via the latest evidence to the latest modifications. What remains the same and what has changed?

Learning objectives for this talk:

• Describe the original/classic RSI
• Understand when it is indicated and how that has changed recently
• Appreciate the key modifications to the classic RSI based on recent evidence

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

A review of Rapid Sequence Intubation from the original description via the latest evidence to the latest modifications. What remains the same and what has changed?

Learning objectives for this talk:

• Describe the original/classic RSI
• Understand when it is indicated and how that has changed recently
• Appreciate the key modifications to the classic RSI based on recent evidence

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

A review of Rapid Sequence Intubation from the original description via the latest evidence to the latest modifications. What remains the same and what has changed?

Learning objectives for this talk:

• Describe the original/classic RSI
• Understand when it is indicated and how that has changed recently
• Appreciate the key modifications to the classic RSI based on recent evidence

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

A review of Rapid Sequence Intubation from the original description via the latest evidence to the latest modifications. What remains the same and what has changed?

Learning objectives for this talk:

• Describe the original/classic RSI
• Understand when it is indicated and how that has changed recently
• Appreciate the key modifications to the classic RSI based on recent evidence

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

A review of Rapid Sequence Intubation from the original description via the latest evidence to the latest modifications. What remains the same and what has changed?

Learning objectives for this talk:

• Describe the original/classic RSI
• Understand when it is indicated and how that has changed recently
• Appreciate the key modifications to the classic RSI based on recent evidence

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

Learning objectives for this talk:

• Understand the importance of objective measurement of fraction of expired oxygen in determining proper pre-oxygenation during rapid sequence intubation and how denitrogenation of the FRC and maximal oxygenation of the blood will lead to longer duration of apnea without desaturation times

• Understand the impact denitrogenation and patient positioning have on potential pulmonary shunting which may place the patient at risk of rapid desaturation

• Understand the importance human factors play in challenging procedural situations such as rapid sequence intubation and how situational awareness can be lost during times of high stress

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

Learning objectives for this talk:

• Understand the importance of objective measurement of fraction of expired oxygen in determining proper pre-oxygenation during rapid sequence intubation and how denitrogenation of the FRC and maximal oxygenation of the blood will lead to longer duration of apnea without desaturation times

• Understand the impact denitrogenation and patient positioning have on potential pulmonary shunting which may place the patient at risk of rapid desaturation

• Understand the importance human factors play in challenging procedural situations such as rapid sequence intubation and how situational awareness can be lost during times of high stress

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway

Airway management in the ED and other acute care settings has followed the ‘ABC’ priority paradigm. Open the airway, apply oxygen then support oxygenation and ventilation with a ‘definitive’ airway A.K.A a tracheal tube. The challenge and focus of airway management in emergencies has been on the technical imperative of laryngoscopy and intubation and therefor success is usually referenced by correct placement of the tube. First pass success (FPS) has been the primary outcome in a majority of publications examining airway management. This reverse rationalization is supported by numerous publications in every setting demonstrating an association between increasing number of attempts and patient morbidity and mortality. The focus of airway management is to support oxygenation and ventilation while maintaining physiologic homeostasis. The tube provides neither benefit nor harm airway management  and success should therefor, be defined by a broader contextual surrogate for patient outcomes. Clinicians should strive for FPS rates >90%, without critical hypoxemia or hypotension performed in a timely manner.

To watch the lecture, and learn more about the speaker, please visit www.continulus.com/library/?collection=emergency+medicine&chapter=airway