An independent journal of airway practice
PACJournal
Where clinicians, writers, and educators tell stories about the work of becoming better at what we do.
Pediatric airway × videolaryngoscopy × human performance
From the editor
PAC is built around a simple proposition: an idea has not finished its work until it changes what happens with your hands.
The current issue // July 2026
Stories, studies & field notes.
Read across disciplines. Follow the clinical problem, the visual artifact, or the person doing the work.
A Great View Is Only the Beginning
Hyperangulated video laryngoscopy is not one skill. It is a sequence of transitions—and the transitions are where performance breaks.
EMS Day at the PAC Studio
A deliberately small, hands-on airway training day for EMS clinicians—built around repetition, coaching, and the moments that are hardest to rehearse.
Letters to a Young Airway Enthusiast
An invitation to the next generation: make room for repetition, feedback, uncertainty, and the patient work of becoming dependable.
FEARLESS FONA
The mindset behind the scalpel—and a new immersive PAC learning space designed to make front-of-neck access more rehearsable.
Talking Airway Management with Scott Weingart on EMCrit
A conversation about airway management, preparation, and the challenge of building reliable performance before the pressure arrives.
Master HALO Procedures — NYC
High-acuity procedures. Deliberate practice. A small-format studio course for clinicians who want more than another day of passive CME.
The HALO Missions Begin
A serial release and a living build: the HALO curriculum begins as a sequence of focused missions designed to grow with practice.
What the New DAS Guidelines Say About Obesity
From footnote to phenotype: what the 2025 Difficult Airway Society guidelines clarify about obesity, planning, and airway risk.
Keep following the thread.
Opening the PAC archive…
Opening the PAC archive…
Masthead // the people behind the issue
Writers, clinicians & visual storytellers.
PAC treats authorship as part of the learning system. The people who research, teach, write, and shape the visual language belong in the foreground.
01Editor · Writer · Founder
Jonathan St. George, MD
Airway practice, learning-space design, and the ideas that connect them.
02Contributing writer · EMS
Kathryn Chadason, FP-C, NRP
Prehospital practice, airway contamination, evidence, and field perspective.
03Creative direction · Visual storytelling
Wojciech Piechowski, PA-C
The visual language that turns clinical teaching into a durable artifact.
A note from PAC
Find the idea that changes how you practice.
Continue the conversation
Read the ideas.
Enter the learning spaces.
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