Run one sequence.
Use local instructions to set up the SALAD simulator. Make one full untimed run, then work on what catches. Try the optional 60-second challenge only when the run is stable.
Alone
Run once at a comfortable pace. Name where the view, suction, or handoff caught.
With a partner
One performs; one watches the view, suction, and handoff. Compare notes afterward.
Set out: SALAD trainer, working suction, rigid catheter, laryngoscope, training tube, cuff syringe, soft catheter, simulator-compatible ventilation equipment and the station’s placement-confirmation setup. Follow local setup and cleaning instructions; Installation Guide ↗.
Start here ↓Simulator practice only. The timer is a practice challenge, not a clinical performance measure.
Take one un-timed pass.
Perform the complete sequence once, using the simulator’s approved setup. A partner can watch and note the point of friction; working alone, pause afterward and identify it yourself.
Need to see the full demonstration again? Watch SAL-F04 in the Procedure Gallery hero ↗, then return here.
Clear and create space.
With suction running, keep the catheter tip in view as you clear material. Use the rigid catheter to help displace the tongue and lower jaw, creating space for the laryngoscope. Maintain that space until the advancing blade takes control of the airway structures.
Handling cue: Keep the movement controlled and the tip visible. If visibility is lost or resistance prevents controlled movement, stop advancing and reassess.
Park left. Maintain drainage.
Withdraw the rigid suction catheter, then reintroduce it to the left of the laryngoscope blade. Keep the glottic opening and esophageal inlet in view as you position the tip in the upper esophagus. Leave suction running to drain ongoing contamination while the right hand moves to tube delivery.
Clear the tube. Establish ventilation.
Once the tracheal tube is positioned and its cuff inflated, clear the tube lumen with a soft suction catheter before ventilation. Withdraw the suction catheter, connect the breathing system, and begin ventilation. Confirm sustained exhaled carbon dioxide using waveform capnography, assess oxygenation and ventilation, and secure the tube.
If sustained exhaled carbon dioxide is absent, urgently exclude esophageal intubation and follow the airway rescue plan.
On the trainer: Complete tube clearance, simulated ventilation, and the station’s placement-confirmation check.
If the trainer cannot simulate capnography, rehearse the confirmation verbally with the facilitator. This rehearses the clinical check; it does not reproduce it.
- Where did the view become difficult to maintain?
- Did suction continue through the handoff to the tube?
- Where did a hand, catheter, blade, or tube catch?
- Did you complete tube clearance, simulated ventilation, and the placement-confirmation check?
Isolate the difficult movement.
Repeat that portion until the movement is more predictable, then reconnect it to the full sequence. Open the matching Gallery material when you need to review the demonstration or explanation.
If the setup fails or the sequence breaks down, stop the attempt. Restore the simulator according to local instructions and ask the facilitator to help with an unresolved equipment or technique issue.
SAL-A19 · AI-generated brick and iron etching ↗Can you complete the sequence in under 60 seconds?
Try this only after the full run is stable.
Start the timer when the suction catheter enters the trainer’s mouth. Stop after tube clearance, simulated ventilation, and completion of the station’s placement-confirmation check.
If the trainer cannot simulate capnography, rehearse the confirmation verbally with the facilitator. This rehearses the clinical check; it does not reproduce it.
Stop the attempt if the view, suction, or handoff breaks down. The timer measures the rehearsal, not clinical competence.
Start when the suction catheter enters the trainer’s mouth.
This local timer stores no result. A time under 60 seconds is a simulator challenge only; it does not establish clinical competence or patient benefit. Follow the educator’s approved sequence and attempt limits.
SAL-A20 · AI-generated concrete and drainage etching ↗Reset the station.
A complete run includes tube clearance, simulated ventilation, and the station’s placement-confirmation check. If the sequence broke down, use the repair section before another full run.
Stop simulated flow, remove the training devices, and restore the trainer, suction system, and work surface using manufacturer and local cleaning instructions. Report equipment faults.
Return to the Procedure Gallery ↗SAL-A13 · AI-generated DUMBO etching ↗