Embedded Files
Module 1
Module Lead | Dr Dave Lawless
Learning Outcomes:
Learning Outcomes:
Initiate and troubleshoot NIV using a structured approach
Apply strategies to prepare for and manage physiologically difficult airways
Apply Hamilton ventilator modes and settings to optimise oxygenation and ventilation
Demonstrate the department’s preferred approach to FONA
Apply a structured approach to troubleshooting the deteriorating intubated patient
Increase confidence leading teams during challenging airway scenarios
What you need to do:
What you need to do:
1) Read & consider the Pre-reading resources.
2) Briefly review the Assumed Knowledge resources and refresh your understanding as required.
3) If you would like to dive deeper, consider the Extension Resources.
4) Come along to the in person session and have fun!
Pre-reading
Pre-reading
Please read/watch these resources prior to attending the in-person sessions.
Hamilton T1
Hamilton T1
Hamilton T1 Guide.pdfHamilton T1 Quick Reference Guide
Hamilton T1 Quick Reference Guide
Pre-course activity (recommended):
Pre-course activity (recommended):
Using a Hamilton T1:
Locate inspiratory hold
Find leak %
Identify where plateau pressure is displayed
Non-Invasive Ventilation (NIV)
Non-Invasive Ventilation (NIV)
VAPOX INFOGRAPHIC 2024.pdfVAPOX Infograpic
VAPOX Infograpic
You may choose to either read the content or listen to the podcast linked on the webpage.
Focus on:
Interface choice
CPAP vs BiPAP
Leak
Recognising failure
Escalation
Pre-course activity (recommended):
Pre-course activity (recommended):
Patient:
RR 36 bpm
Sats 84%
pH 7.25
CO2 68mmHg
Would you:
Optimise NIV?
Continue?
Intubate?
Can't Intubate, Can't Oxygenate (CICO) / Front of Neck Access (FONA)
Can't Intubate, Can't Oxygenate (CICO) / Front of Neck Access (FONA)
PRO2631v1 - FONA.pdf
Real procedure. Please be mindful of your surroundings when viewing.
Pre-course activity (recommended):
Pre-course activity (recommended):
What triggers your decision for FONA?
Airway Troubleshooting
Airway Troubleshooting
Pre-course activity (recommended):
Pre-course activity (recommended):
Build your first 60-second approach to:
Post intubation desaturation
Low ETCO2
Rising airway pressures
Assumed Prior Knowledge
Assumed Prior Knowledge
Optional, but highly recommended if you need a refresher.
ED Emergency Intubation Checklist_ED212 Page 2.pdfExtension Resources
Extension Resources
Optional extra resources if you'd like to explore further.
Full text article linked on the right
Noninvasive Ventilation for pre-oxygenation during emergency intubation.pdfNoninvasive Ventilation for Preoxygenation during Emergency Intubation
Noninvasive Ventilation for Preoxygenation during Emergency Intubation
Full text article of The Bottom Line link on the left
You can either read the show notes or listen to the podcast on the linked site
Managing initial mechanical ventilation in the emergency department.pdfManaging Initial Mechanical Ventilation in the Emergency Department
Managing Initial Mechanical Ventilation in the Emergency Department
Extension Activity (for the eager learner):
Extension Activity (for the eager learner):
Patient:
RR 40 bpm
pH 6.95
MAP 62mmHg
Lactate 12
Build:
Oxygenation strategy
Induction plan
Paralysis strategy
Ventilation plan
Surgical Airway (Cricothyrotomy) Performed by Ram Parekh
Surgical Airway (Cricothyrotomy) Performed by Ram Parekh
Real procedure. Please be mindful of your surroundings when viewing.
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