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Simplicity of the Scalpel

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Under Construction

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Anatomy Review

The moment you need to do an emergent cricothyroidotomy is not the time to be fuzzy on the essential anatomy needed to perform the procedure. This video by Andy Neill MD is a great place to start.


Feel the Stress (A real case)

In this amazing video of a surgical airway performed in Afghanistan you get the sense of what’s involved. You may never have to perform this procedure in a combat situation, but your body may not know the difference. All of the logistics, teamwork, and stress related obstacles we face in the ED are here. The first time I watched this video my palms were sweaty.

The Debrief: Why was this surgical airway successful?

  • The team made a quick decision, and didn’t waste time trying other techniques likely to fail.
  • Team approach: supported by team members that this was the right decision (do it dude!).
  • Nothing fancy, the procedure was paired down to the essentials and performed in seconds.
  • Logistics: team members knew how to find everything and negotiate their environment.

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