Emergency Intubation

Michael Yurkanin MD
Brian Woodcock MB ChB, MRCP, FRCA

(BWudcock@umich.edu)

How to use this document

Introduction

What to do when called

What to do upon arrival

History

Physical Exam

Other considerations before proceeding

Different Scenarios

Cardiac/Respiratory Arrest (A Code)

Hemodynamically Unstable

Increased Intracranial Pressure

Burn/Crush Injury/Spinal Cord Injury

Apparent Difficult Airway

Unstable Cervical Spine

Combative Patient


Intubation Techniques

Dilemmas in choice of technique

DL without pharmacologic aids
Awake DL
Awake Blind Nasal
Rapid Sequence Intubation (RSI)
Fiberoptic
Surgical

Confirmation of ETT placement

ASA Difficult Airway Algorithm

Laryngeal Mask Airway


References

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