PAC:SCAPE

EXHIBIT 06 // ENDOTRACHEAL INTUBATION

See. Deliver. Pass. Confirm.

Endotracheal intubation is one upper-airway lifeline with several linked problems: prepare the system, build the view, shape and deliver the tube, pass it through the glottis, and confirm the result.

A laryngoscopic view and successful tube delivery are related but distinct. Direct and Video Laryngoscopy create different visual and geometric work before they rejoin at tube passage and confirmation.

Device choice, preparation, technique, attempt limits, optimization, confirmation, and transition depend on the patient, operator, setting, manufacturer instructions, and locally approved plan.

GALLERY GUIDE06Tools · Geometry · View · Tube · Result
Poster 150 · Endotracheal Intubation · Synthesized dialogue adapted from the owner’s narration. Transcript

Exhibit 06 // Choose a route

Build the geometry. Then choose a branch.

The Gallery connects the tube, airway, delivery shape, shared laryngoscopy sequence, and the instrument that will create the view. Each instrument Gallery opens its matching procedure in the Practice Studio. Both branches return to confirmation.

01 // GalleryExplore the GalleryPrepare the system, read the geometry, learn the common sequence, then meet the laryngoscope.02 // Practice StudioEnter the Practice StudioChoose Direct or Video Laryngoscopy. Practice its sequence, then confirm the result.
Installation Guide for facilitators →

Room 01 // Meet the object

Know the tube before you ask it to work.

The endotracheal tube must pass through the glottis and become a route for ventilation. Start at the distal tip and follow the assembly back to its connector and pilot system.

Inspect the whole tube first. Then use the labeled plate to connect each feature to its job.

Object study // The complete assemblyOne tube. Several working parts.

The bevel and Murphy eye form the distal end. The cuff, depth markings, shaft, 15 mm connector, inflation lumen, pilot balloon, and valve each solve a different part of placement, sealing, connection, or surveillance.

Source: OxygeNATION teaching collection
Companion plate // Read the partsMake the diagram and the object agree.

Locate the same features on the tube. The cuff-inflation connection is part of this system; the drawer below brings its syringe, valve, and locking connection into closer view.

Source: OxygeNATION teaching collection · enlarge to inspect
Object drawer // Luer LockOpen the cuff-inflation connection study.

The Luer connection and syringe are separate pieces of equipment within the cuff system. Inspect the connection before use; connection standard alone does not determine appropriate cuff pressure or management.

The Luer connection

The pilot valve is the access point to the cuff-inflation system. A familiar connector can still fail if it is not seated, locked, or functioning as expected.

Cuff-system poster · OxygeNATION teaching collection
How the connection works

Watch the male and female components align. The interface must be understood before cuff inflation becomes the next task.

Demonstration film · 0:08
Make the connection

Seat the syringe and complete the locking motion before applying force. Do not mistake contact with the valve for a secure connection.

Demonstration film · 0:30
Syringe connection

Keep the connector stable while the syringe engages. This small hand task protects the connection from twisting, partial seating, or accidental disconnection.

Demonstration film · 0:24
Plunger position

If the expected result does not hold, pause and inspect the syringe, connector, pilot system, and cuff pathway instead of repeating the same movement.

Demonstration film · 0:18

Boundary: Patient-specific tube selection, insertion depth, cuff management, and connection to a ventilation system require the approved clinical context, manufacturer instructions, and local standard.

Next // Anatomy + geometry

Where must this tube travel?

Follow the airway →

Room 03 // Prepare the tube

Shape the tube for the route ahead.

Room 02 traced the airway’s curves. Now consider the tube-and-stylet assembly that must travel through them.

The stylet gives the tube a shape you can control. The intended route, selected laryngoscope, and delivery technique guide that preparation.

Begin with the object

Open the introductory film, or inspect the poster. Then watch the close-up below to follow what the hands change.

Poster 154 // Introductory filmStylet Shaping 101Protected Airway Collaborative · YouTube

The poster illustrates one straight-to-cuff setup. Its marked angle is not a universal shaping template.

Close-up study // 0:51

Watch the preparation take shape.

Follow the stylet’s depth, the bend near the cuff, and the handhold at the connector. Notice how the assembly changes between the opening error sequence and the prepared example.

Tube and stylet preparationDemonstration film · 0:51 · OxygeNATION teaching collection
Read the visual sequence →

This film demonstrates one preparation method. Its on-screen “wrong” and “right” labels describe the example being shown.

  1. The opening grayscale sequence shows an awkwardly curved assembly and flags a stylet inserted too deeply.
  2. The color sequence shows the stylet being loaded and a bend formed near the cuff; the film labels the demonstrated bend as 30°.
  3. The proximal stylet is bent at the connector to form a handhold. The demonstrator shows the assembled tube from different angles, then uses the thumb at the connector to begin withdrawing the stylet.

Use the film to study these relationships. Exact shape, stylet depth, and removal technique depend on the selected device and approved clinical plan.

Before you continue

What are you checking in the prepared assembly before the tube reaches the mouth?

Boundary: These materials teach preparatory relationships, not one universal shaping template. Adjunct choice, bend, loading, lubrication, distal position, removal timing, and reuse depend on the approved device, manufacturer instructions, clinical context, and local standard.

Next // Laryngoscopy

Bring the prepared tube into a controlled attempt.

Follow the six jobs →

Room 04 // The laryngoscopy process

Turn preparation into a controlled attempt.

Position, grip, entry, view, engagement, and delivery each ask something different of the operator. Watch the complete sequence, then study the movement you need to understand.

The studies use a curved direct blade to make several relationships visible. Flextension, vallecular engagement, and the direct viewing lane are examples within that context—not instructions to apply unchanged to every Video Laryngoscopy system. The instrument rooms and their Practice Studios separate those branches.

Poster 152 // Orientation filmFundamentals of Intubation1:43 · Captioned · Synthesized narration: Mark V4Transcript
  1. 01Position the patientBuild flextension and a workable external geometry.
  2. 02Holding the laryngoscopeLet the left hand control the blade without levering on the teeth.
  3. 03Entering and orientationOpen the mouth, create space, and know where the blade is.
  4. 04Building your viewProgress through landmarks instead of searching blindly for cords.
  5. 05Engaging the valleculaPlace the curved blade tip before applying lift.
  6. 06Delivering the tubePreserve exposure while the tube follows its own path.
01
Patient + operator relationship

Position the patient. Set yourself up.

Before the blade enters, bring the patient, the bed, and your working position into relationship.

Flextension · OxygeNATION teaching collection
READ THE RELATIONSHIP

Two movements.
One working position.

The sniffing position combines lower-cervical flexion with extension at the atlanto-occipital joint—flextension. The head is raised while the face extends, rather than simply tipping the whole head backward.

In the two-curve model, this reduces the area between the airway curve and the operator’s line of sight for direct laryngoscopy.

Patient

In larger patients, elevation may include the shoulders to bring the external auditory meatus and sternal notch into horizontal alignment.

Operator

Set bed height and your working position before the blade enters. Have oxygenation equipment and suction ready.

Adapt

There is no universal optimum. Body habitus, neck mobility, the selected device, and the view obtained may require adjustment.

SEE THE RELATIONSHIPPosition the patient

Watch the head, torso, bed, and operator—not one fixed pillow height.

Demonstration film · OxygeNATION teaching collection

With the patient and operator positioned, bring the instrument into the relationship →

02
Instrument + left hand

Hold the laryngoscope so the blade can work.

The left hand controls blade position and the direction of lift. A stable grip keeps that force in the handle and away from the teeth. Handle angle, blade form, and where the hand sits change leverage, precision, and the working space left for the tube.

Grip studiesGive the left hand one clear job.
Video laryngoscope grip

Watch where the hand sits on the video laryngoscope and how the instrument is held.

Demonstration film · 0:08
Hold the laryngoscope

A light, low grip supports fine motor control and reduces the impulse to over-insert. Let the left hand guide the blade before it is asked to lift.

Demonstration film · 0:27
Direct the instrument

Once the blade is positioned, lift up and away along the intended vector. Rocking the handle backward trades exposure for pressure on the teeth.

Demonstration film · 0:40
03
Mouth + blade entry

Enter without losing orientation.

Open the mouth, create working space, and bring the blade into the mouth under control. The exact motion changes with the patient and device, but the blade should not advance faster than the anatomy can explain where its tip is and what should appear next.

First · Create working spaceScissors technique

Use the right hand to distract the jaw and create an oral aperture. A controlled entrance begins before the blade crosses the teeth.

Demonstration film · 0:22
Animated study of the airway curves followed during laryngoscopy
Then · Follow the routeRemember the curves

Entry follows the mouth and oropharyngeal curve. Keep track of the blade tip as it advances; the next landmark should explain the next movement.

Motion study · OxygeNATION teaching collection

Once the blade has entered, build the view one landmark at a time →

04
Exposure + landmarks

Build the view one landmark at a time.

Progressive laryngoscopy replaces a blind search for the cords with a sequence of recognizable anatomy. Identify the tongue, find the epiglottis, and then expose the laryngeal inlet. Deeper is not automatically better; blade position and the direction of lift must keep producing useful exposure.

Review the anatomy and geometry →
  1. 01TongueEstablish orientation.
  2. 02EpiglottisFind the next landmark.
  3. 03Laryngeal inletBuild useful exposure.
Animated progression through airway landmarks
Anatomic landmarks

Progressive laryngoscopy moves from familiar to deeper anatomy: tongue and uvula, epiglottis and vallecula, then the laryngeal inlet. Each landmark is a position check.

Motion sequence · OxygeNATION teaching collection
Animated progression from the uvula toward the epiglottis
Uvula to epiglottis

After the uvula confirms a centered entry, follow the base of the tongue. Controlled advancement should reveal the epiglottis before the search moves deeper.

Orientation study · OxygeNATION teaching collection
Find the uvula

The uvula is an early midline landmark. If it is absent, reconsider mouth opening, blade position, and whether the blade is buried in the tongue or displaced laterally.

Clinical landmark study
Find the epiglottis

The epiglottis is the cornerstone landmark: once identified, the larynx and tracheal route are nearby, posterior and inferior. You do not need to begin with the cords.

Clinical laryngoscopy study
Epiglottis to vallecula

Watch the blade approach the epiglottis and then seat in the vallecula. The movement is short, deliberate, and explained by the anatomy already in view.

Demonstration film · 0:14
Do not plunge and pray

Depth without orientation can carry the blade past useful landmarks into anonymous tissue. If the anatomy stops explaining the movement, withdraw until orientation returns.

Orientation graphic · legacy language
05
Blade tip + vallecula

Engage the vallecula before you lift.

With an assigned curved blade, the relationship among blade tip, vallecula, hyoepiglottic ligament, epiglottis, and laryngeal inlet explains why a small change in position can change the view. Place the tip deliberately, then apply lift in the intended direction.

Engaging the ligament

With a curved blade, the vallecula is the working interface. Correct blade-tip position tensions the hyoepiglottic ligament so lift can move the epiglottis indirectly.

Mechanism study · OxygeNATION teaching collection
Animated demonstration of ligament engagement
Ligament engaged

Observe the change after the blade tip reaches the vallecula. A small positional change can convert undirected force into useful laryngeal exposure.

Motion demonstration
Animated hyoepiglottic ligament demonstration
Hyoepiglottic mechanism

The hyoepiglottic ligament links vallecular placement to epiglottic movement. The anatomy explains why blade-tip location matters before lift is increased.

Motion demonstration
Valleculoscopy

Watch for the moment the blade stops advancing and begins to engage. Exposure comes from the relationship at the tip, not from burying the blade deeper.

Demonstration film · 0:19
Vallecular engagement

Track the blade tip, vallecula, and lift vector together. The demonstration turns a named space into a controllable mechanical relationship.

Demonstration film · 1:43
Valleculoscopy with a curved blade

Use this external study to compare deliberate advancement, epiglottis identification, vallecular seating, and lift. The sequence matters more than speed.

AIME Airway · YouTube
Listen // Valleculation introduction
0:00
Narration · transcript review pending
06Exposure + tube path

Keep the view while the tube moves.

The laryngoscope has created a view. As the right hand brings the prepared tube into the mouth, the left hand continues to maintain that exposure.

Follow both jobs together: where the tube travels, and what remains visible as it advances.

Two hands · two jobs

Follow the relationship between the two hands: exposure is maintained while the prepared tube is delivered.

Illustrated study · OxygeNATION teaching collection
Direct Laryngoscopy · Two views of delivery

Leave the viewing lane open.

Read these panels from entry to approach. The tube comes from the right side of the mouth, then advances below the direct line of sight toward the target.

01 · EntryEnter from the side

Bring the tube through the right corner of the mouth rather than the center. This protects the direct viewing lane created by the laryngoscope.

Tube delivery · panel 01
02 · ApproachAdvance below the sightline

Keep the tube low in the field until its tip approaches the target. The tube should remain visible without obscuring the glottic opening.

Tube delivery · panel 02

These panels show direct-laryngoscopy geometry. The Video Laryngoscopy branch considers the tube path in relation to the camera and screen.

Reference drawer · Tube Delivery Essentials
Tube Delivery Essentials

A retained reference on handhold, working space, and tube-delivery adjustments. Apply these points within the selected device and technique; the graphic is not a universal troubleshooting sequence.

Process study · OxygeNATION teaching collection
Carry forward

Seeing the inlet and delivering the tube are linked tasks. Continue with the instrument you will use, then follow its procedure through confirmation.

Explore the Direct and Video instruments →

Optional study drawers

Two aids for rehearsal.

Open either study, or continue to the laryngoscope below.

Optional 04AThe Power of Incrementalization
Optional 04A // Process room

Make the sequence visible.

A laryngoscopy attempt can feel like one continuous act. Practice becomes more useful when the work can be seen in parts.

Poster 162The Power of IncrementalizationOptional physical-poster study
Threshold object

The Power of Incrementalization

Break the attempt into observable decisions. During deliberate practice, the learner and coach can locate where positioning, identification, optimization, or delivery changed.

  1. Positioning
  2. Identification
  3. Optimization
  4. Delivery
Companion film

Practice the parts. Recall the sequence.

Breaking laryngoscopy into distinct steps makes each step easier to practice and the full sequence easier to recall under pressure. The film opens at 8:15.

Open source film at 8:15 ↗
Begin at 8:15EVLI approach to first pass success intubation

Watch for the sequence of decisions. Each visible part gives the learner and coach somewhere specific to look.

AIME Airway · YouTube

Decomposition supports observation and coaching. It does not make one sequence universal or establish clinical competence or patient benefit.

Return to the shared foundation →
Optional 04BThe Intubation Mantra
Optional 04B // Listening room

A short sequence, held in working memory.

The Mantra is an optional rehearsal aid. It can keep the next landmark or hand movement available without becoming a mandatory bedside script.

Poster 161The Intubation MantraOptional physical-poster study
Threshold object

The Mantra Idea

Build a short verbal cue that keeps the landmark sequence available during deliberate practice. The words should point back to the airway, the object, and the next physical decision.

listen // The Mantra Idea.
0:00
Narration · transcript review pending
Companion study

Watch it—or listen.

The film and audio perform the same job. Choose the format that helps you rehearse the sequence, then return to the airway rather than the slogan.

Visual versionMy Airway Mantra

Use the film when the visual sequence helps connect the words to the work.

PAC · YouTube
Audio-only versionMy Airway Mantra

Use the audio when you want to rehearse without another image competing for attention.

listen // My Airway Mantra.
0:00
Narration · transcript review pending

A Mantra may support rehearsal and coaching. It does not replace judgment, physiologic awareness, or recognition that an attempt is failing.

Return to the shared foundation →

Next // Choose an instrument

The instrument changes the work.

Follow either poster into its instrument room, then continue to the matching procedure. Direct and Video are parallel paths; both return to confirmation.

Direct Laryngoscope pathway poster Poster 155 // ToolsDirect laryngoscopeMeet the instrument → Video Laryngoscope pathway poster Poster 157 // ToolsVideo laryngoscopeMeet the instrument →

Practice Studio // Exhibit 06

Build the view. Deliver the tube. Confirm the result.

Choose the procedure that matches your instrument. Rehearse its four moves, respond aloud to both confirmation cues, and reset.

First actionRead the procedure label. Match its laryngoscope, blade, tube, and approved adjunct. Stop if anything does not match.
Finish lineOne procedure · four connected moves · both confirmation cues · reset.
Find these objects
  • Labeled airway trainer
  • Assigned laryngoscope + matched blade
  • ETT + approved delivery adjunct
  • Suction + oxygenation setup
  • Simulation confirmation cue

Procedure rooms // Direct or Video

Choose your procedure.

Poster 158 // Video Laryngoscopy

Use the screen without losing the mouth or the tube.

The system is known. Now coordinate blade entry, gaze transfer, a useful screen view, tube entry, and delivery through the airway.

On the trainer

Four connected moves

  1. 01Match + prepare

    Identify the installed blade family. Match the tube shape and adjunct. Test the camera, screen, suction, oxygenation, and failed-attempt plan.

  2. 02Enter + transfer

    Watch the mouth during blade entry. Move attention to the screen only after the blade is safely inside.

  3. 03Frame + optimize

    Orient by landmarks and build a useful delivery view—not simply the closest possible image of the glottis.

  4. 04Reacquire + deliver

    Return to the mouth for tube entry, find the tube on screen, steer it through the view, and stop for resistance or the assigned cue.

Watch once. Then return to the trainer.

Coordinate mouth, screen, and tube.

Use the film to follow the changes in attention, and the companion plate to review them. Match the transitions and delivery object to the installed system.

Procedure thresholdVideo LaryngoscopyPoster 158 · 2:26 · captioned
Video Laryngoscopy sequence

Follow the shifts in gaze, blade position, screen view, tube appearance, and delivery. Use the sequence as orientation, then match every step to the installed device.

Infographic · legacy language
Video procedure // Optional reference shelfSequence and targeted failure studies.
Overshooting the larynx

A close, dramatic glottic image may leave too little room to see or steer the tube. Withdraw to a useful delivery view instead of treating maximum magnification as the goal.

AirwayOnDemand · YouTube
When landmarks are overshot

Watch how rapid, deep advancement erases the visual sequence. The corrective move is not more force; it is to recover a known landmark and rebuild the view.

AirwayOnDemand · YouTube
Both procedures return here

View and delivery are not confirmation. Rehearse the result below. Need the best-effort and transition framework?

Shared return // Confirmation bay

The tube has passed. The job is still open.

Use one simulation cue at a time. A partner chooses the cue; the operator responds aloud. The trainer does not generate patient confirmation.

Simulation result // Present

Say what has been confirmed.

“Sustained exhaled CO2 is present.” Continue the locally approved check of ongoing ventilation, tube security, and the post-intubation handoff. The simulation cue stands in for a waveform; it does not prove physical performance.

Simulation result // Absent

Say what has not been confirmed.

“Tracheal placement is not confirmed.” The default response is tube removal and renewed oxygenation. If the approved local plan treats immediate removal as dangerous, begin its urgent alternative-exclusion pathway. Do not accept indirect signs as confirmation.

Object in preparation // Annotated waveform study

Give the confirmation cue a visible signal.

A verified capnography comparison will accompany the two simulation cues: sustained exhaled CO2 present and absent. The annotations must distinguish a recorded signal from the trainer's simulated result.

OXY-ETT-CO2-STUDY · Source recording, permission, and clinical annotation review needed. The labeled practice cues above remain usable without this object.
Before you leave

Complete the assigned laryngoscopy sequence, both confirmation cues, and a complete reset.

Rehearsal does not establish clinical competence, credentialing, independent authorization, or patient benefit.
Not yet // Recovery

If the tube does not follow the intended path, return to the smallest failed phase: route, view, delivery, or passage. Reset that object, make one approved change, and try again. Stop for mismatch, damage, contamination, equipment failure, unexpected resistance, or a cue outside the task.

Reset the complete system

Return the assigned laryngoscope, blade, tube, adjunct, confirmation cue, suction and oxygenation setup, and trainer to their labeled start state. Follow the installed cleaning, inspection, charging, consumable-replacement, and support instructions.

Studio exit // Gallery returnReturn to Exhibit 06.

Reopen the Gallery at its hero, revisit any Room, or choose another route from the Exhibition Map.

Return to the Gallery ↑
Installation Guide // build the physical Studio →

Facilitator route // Exhibit 06

Build two branches around one shared result.

The digital task is approved. This guide turns it into a repeatable installation without guessing the devices, trainer behavior, cleaning rules, or support system that only the local program can authorize.

Learner taskApproved Poster 150Identity confirmed Physical StudioLocal register required Orientation filmCandidate found
Installation plan // learner-facing edge to rejoin

Start together. Separate the device work. Rejoin at confirmation.

Arrival railPoster 150 + exact Studio QRPlace at the learner-facing edge. The QR opens the Practice Studio, not the Exhibit top.
Common startPreserve + prepareGroup suction, the labeled oxygenation simulation, role card, tube set, and failed-attempt boundary before either bay.
Branch DDirect bayExact handle, matched blade, pre-use card, and branch-specific device card.
Shared working fieldTrainer + tube deliveryCenter the trainer. Place the selected ETT, approved adjunct, and route cues where both branches meet the mouth.
Branch VVideo bayExact system, matched blade, screen/charging state, pre-use card, and branch-specific device card.
RejoinConfirmation + resetKeep present/absent simulation cues, cleaning process, consumables, out-of-service marker, and support route together.

Relational rule: Direct and Video are alternative bays, not consecutive steps. Both face the same trainer and both finish at the same confirmation-and-reset field.

Opening register

Twelve fields must name the Studio that actually exists.

Record exact installed objects and local operations. A product family, future intention, or placeholder is not permission to open the Studio.

01 // Direct systemSpecify locally
Record handle, blade family and sizes, reusable/disposable boundary, light check, batteries, device card, and permitted technique.
02 // Video systemSpecify locally
Record manufacturer, model, blade family and sizes, geometry, screen state, charging check, device card, and permitted technique.
03 // ETT + cuff systemSpecify locally
Record tube manufacturer/type/sizes, cuff status, syringe and pilot system, disposable boundary, and the exact selection rule used at this Station.
04 // Delivery adjunctSpecify locally
Record stylet or other approved adjunct, loading rule, approved shapes by branch, lubrication, distal position, removal plan, and reuse policy.
05 // Trainer + positionSpecify locally
Record trainer model, permitted mouth/head/jaw movement, landmark and passage limitations, surface, pads, and installed starting position.
06 // Oxygenation + suctionSafe base default
Use labeled simulation unless a separate live-system approval records source, flow control, supervision, shutdown, suction power, canister, tubing, and reset.
07 // Confirmation simulationSpecify locally
Record present and absent sustained exhaled-CO₂ cues, how each is triggered, what the learner can observe, and the local urgent-response boundary.
08 // Learner taskApproved; match required
One assigned branch, its four connected moves, both confirmation cues, and reset. Verify that the installed objects support every named action.
09 // Attempt + stop rulesSpecify locally
Record starting cue, stopping cue, permitted force and repetitions, simulated resistance rule, failed-attempt transition, and excluded actions.
10 // Cleaning + readinessSpecify locally
Post cleaning product and contact time, inspection, charging, batteries, consumables, replacement owner, waste route, and equipment quarantine.
11 // Support + operationSpecify locally
Name the Station lead, contact route, out-of-service process, educator role, scoring/use policy, opening owner, and after-hours disposition.
12 // Arrival + mediaPartially verified
Poster 150 is confirmed as OxyGEN-2.0.031-3.jpeg. Record the installed print, QR scan result, final orientation film, durable host, captions/transcript, alt text, and fallback before freeze.
Physical evidence packet

Eight images can resolve the remaining equipment record.

Photograph the installed objects and labels as they will appear on the table. These images document the Station; they do not substitute for manufacturer instructions or local approval.

  1. 01Complete tableOne wide image showing the arrival rail, common start, both branches, shared trainer, and rejoin field.
  2. 02Direct systemHandle, blade family and sizes, identification labels, light source, and power supply.
  3. 03Video systemManufacturer and model labels, blade geometry and sizes, screen, camera, and charging state.
  4. 04Tube + adjunctETT packaging and sizes, cuff system, syringe, selected adjunct, lubrication, and storage.
  5. 05TrainerManufacturer/model label, installed position, pads, mouth, landmarks, and tube-passage route.
  6. 06Oxygenation + suctionSimulation labels or approved working components, tubing, controls, canister, and shutdown state.
  7. 07Confirmation + resetPresent and absent CO2 cues, cleaning products, consumables, charging, and out-of-service marker.
  8. 08Arrival testInstalled Poster 150, its QR payload, and the first mobile screen reached after a real scan.

Capture labels, not assumptions. If a model number, revision, size, or operating state cannot be read, photograph it again before the register is completed.

Card 01 // Setup

Open only a matched system.

  1. Match every object to the twelve-field register.
  2. Complete both manufacturers' pre-use checks.
  3. Confirm the selected ETT and adjunct match both assigned branches.
  4. Stage both confirmation cues.
  5. Scan Poster 150 and confirm the exact first action appears.
Card 02 // Stop + support

Do not improvise around a mismatch.

Stop for missing, damaged, dirty, discharged, unlabeled, mismatched, or failed equipment; unexpected resistance; or a cue outside the task. Leave the object in place, display the out-of-service marker, and contact the named Station lead.

Card 03 // Reset

Return both branches to ready.

  1. Return Direct and Video systems to labeled start states.
  2. Restore tube, adjunct, suction, oxygenation simulation, and confirmation cues.
  3. Inspect, clean, charge, and replace consumables as posted.
  4. Reset the trainer and branch assignment.
  5. Confirm the next learner can begin at the arrival rail.
Threshold media register

The poster and orientation film mark the threshold into this pathway.

Physical threshold
Poster 150final printing export.031.jpeg / WordPress asset OxyGEN-2.0.031-3.jpeg
Orientation film
Endotracheal tube introductionVideoPress OLzAeq6P · ett-intro.mov · 1:55. Owner selected for the local draft; captions/transcript remain to be verified.
Release requirements
Identity + rights + accessVerify instructional job, clinical review, durable hosting, poster cover, captions/transcript, alt text, and real-device playback.
Cold-start record

Give the phone and Studio to someone who did not build either one.

No spoken instructions. A facilitator prompt counts as a failed self-guided step.

  1. ArrivalScan the installed QR and identify the objective, objects, assigned branch, first action, stop rule, and finish line.
  2. PrepareFind suction, oxygenation simulation, tube, adjunct, roles, and the failed-attempt boundary before entering either bay.
  3. BranchMatch the exact laryngoscope and blade, complete its pre-use check, and follow only the assigned Direct or Video sequence.
  4. ConfirmRespond correctly to both present and absent simulation cues and state what has or has not been confirmed.
  5. ResetRestore both bays, trainer, cues, cleaning/charging state, support marker, and next destination without prompting.
Opening ruleAll twelve fields complete. All five cold-start checks pass. The final-media record is complete.Until then, this remains an installation candidate—not an open learner Studio and not a Frozen Exhibit.