This series of posts is directed at proving the notion that Perfection in Airway Management is now possible and that achievement of this goal is now dependent on achieving a "Cultural Shift" that has at times been called " Team resource management" ,
The Question for all is how do we teach providers to have skill and decision making knowledge with the wonderful tools now available.
1. Definitions: Skill: the ability to use a given device so that 75% of its full value can be applied to the appropriate patient.
Tool: a proven device of accepted value.
Decision : The possession of sufficient knowledge of the tool Kit to apply the most appropriate tool from those available.
Bringing in team members as required before the "crisis"
Bringing in the equipment so that it is available for teaching and application- its necessary to buy the fire truck before the fire and have it on the spot.
Having a teaching learning culture for the team.
2. The Tool Box: This will change but these are all available and should be part of the skillset.
1. Airways and Oxygen
2. The Direct Laryngoscope
3. The Supraglottic airway - Get good with 1 good SGA
4. The Video Laryngoscope- Get good with 1 great video Laryngoscope like the Glidescope.
5. The Flexible Laryngoscope/bronchoscope- an essential tool and skill that needs regular practice.
6. Surgical Airway skill- usually life saving airway is only 6mm away from the skin.
7. Know where the nearest ECMO provider can be found.
3. The Airway Culture Team Manager
Who will establish and be responsible for the development of "excellence in culture".
The British Airway Lead Concept must be adopted as the finest idea, in my view.
The Question for all is how do we teach providers to have skill and decision making knowledge with the wonderful tools now available.
1. Definitions: Skill: the ability to use a given device so that 75% of its full value can be applied to the appropriate patient.
Tool: a proven device of accepted value.
Decision : The possession of sufficient knowledge of the tool Kit to apply the most appropriate tool from those available.
Bringing in team members as required before the "crisis"
Bringing in the equipment so that it is available for teaching and application- its necessary to buy the fire truck before the fire and have it on the spot.
Having a teaching learning culture for the team.
2. The Tool Box: This will change but these are all available and should be part of the skillset.
1. Airways and Oxygen
2. The Direct Laryngoscope
3. The Supraglottic airway - Get good with 1 good SGA
4. The Video Laryngoscope- Get good with 1 great video Laryngoscope like the Glidescope.
5. The Flexible Laryngoscope/bronchoscope- an essential tool and skill that needs regular practice.
6. Surgical Airway skill- usually life saving airway is only 6mm away from the skin.
7. Know where the nearest ECMO provider can be found.
3. The Airway Culture Team Manager
Who will establish and be responsible for the development of "excellence in culture".
The British Airway Lead Concept must be adopted as the finest idea, in my view.
