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Evolution of the Tube Introducer

nextgen learning designed to elevate your airway practice
The origins of the bougie and beyond

This learning space on tube introducers covers all the critical concepts, skills and gestures you need to deploy these tools in an emergency, along with a little bit of context and history. Our experts will discuss how and when to use them in real-world care, and teach you the tricks of the trade they rely on in their practice. When you’re done, you’ll be able to take your new skills confidently to the bedside.

Map Your Own Journey

We seamlessly integrate digital & physical space for an immersive experience that puts you in the driver’s seat. Listen here for more on how to use it. 👂

Everything You Need To Integrate These Essential Tools Into Your Practice

IntroductionIt’s OK be BougieClassic Bougie
PreloadedExchange CatheterArticulating Device
a lesson in design

To stay relevant means changing with the times. How have these devices evolved?

some things never go out of style

So why do you even need to use tube introducers? What is the point if we have video laryngoscopes and endotracheal tubes with stylets? Aren’t these devices a thing of the past? Not so fast….

classic bougie style

Classic bougie style begins with this technique.

the preloaded technique

An efficient single operator technique. It also helps to keep that bougie from falling onto the floor right when you need it!

NExtGen Style Now

Learn how the next generation of tube introducers are changing the game in the age of VL with enhanced design.

the ANATOMICALLY difficult airway continued

Sure you could stop here, but why would you? Now that you’ve completed this space on tube introducers, visit any of these other related learning spaces to help you master the anatomically difficult airway.👇

Build Your Own Learning space

PAC posters used in the course are available so you can build these essential emergency airway installations at your shop. Just download and print our interactive posters, and you will have access to all the embedded digital airway content that will walk learners through all the core concepts and skills for this topic. Set them up in any pop up space for learners. Keep them up as long as you like, use them over and over! Just add your own equipment for hands on learning.


meet the creators

Each learning space takes a collaborative and design forward approach. We draw on the power of the creative arts to inspire and tell stories, on the sciences to improve our clinical practice, and on the diverse perspectives of our combined experience to deepen our knowledge. Each unique creation has one goal: to elevate your emergency airway practice.

Rohan Panchamia MD – Director the Anatomically difficult airway program @PAC

Dr. Rohan Panchamia is a board-certified Anesthesiologist specializing in critical care medicine and transplant anesthesiology. His clinical interests include critical care ultrasound, liver anesthesia, trauma anesthesia, advanced airway education, and resuscitative transesophageal echocardiography.  

Sean Runnels MD – Creator through the cords tube introducers

Dr. Runnels is the founder, inventor, and driving force behind Through The Cords. He is an Associate Professor of Anesthesiology at the University of Utah. He was fellowship trained as a cardiothoracic anesthesiologist at Cambridge University in the UK and has extensive experience in difficult airway management in both high resource and low resource settings. 

JOnathan St George MD – Creator of the protected airway collaborative

Emergency physician and educator. Guided in my belief that high quality airway training.is the guardrail that protects our patients from harm. Full bio here.


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