For Safer Intubations in Critically Ill Patients
Course Description
- Description: The Physiologically Difficult Airway Training Program
- Creator: Sara Murphy DO, Jonathan St George MD,
- Includes: Online + Hands-On Curriculum
- Completion Time: 45-60 minutes (not including simulation)
- CME & Certificate available: Yes (with site subscription)
How To Use
One Curriculum, Endless Ways to Learn: Each Learning Space is your gateway to focused, flexible airway training. Whether you’re learning solo or guiding a team, you can explore the online content at your own pace, turn it into hands-on practice, and revisit it anytime for refreshers or deeper dives.

✅ Access content and expert insights online
✅ Posters: build pop-up training stations
✅ Practice key skills with or without a coach
✅ Use stations to teach or lead small groups
✅ Revisit anytime
Meet the Director

If “resuscitate before you intubate” is the meme of the physiologically difficult airway, then its organizing principle is the four P’s of peri-intubation resuscitation.
— Sara Murphy DO, Critical Care Faculty – Director of the Physiologically Difficult Airway Installation
Start the Course: Visit the Posters
A Visual Gateway to Deeper Learning
Introduction: There’s a dangerous intersection between critically ill physiology and intubation. If you don’t want to crash and burn, you must pay attention to the number one rule of the road: “Resuscitate before you intubate.” In this space, we will expand your understanding of what makes an airway difficult and demonstrate an effective method for navigating the complex physiology of the peri-intubation period, enabling you to protect your patients from the harmful effects that medications, endotracheal tube placement, and positive pressure ventilation can have on critically ill patients.
Chapter 1

introduction
Expand your understanding of what makes an airway difficult and learn an effective method for navigating the dangerous physiology of the peri-intubation period.

identify danger
Resuscitate before you intubate! Okay, but how? This is where the rubber meets the road, so let’s start with a cognitive tool to help you predict danger during the peri-intubation period.
Chapter 2

adressing hypotension
Peri-intubation hypotension is an independent risk factor for cardiac arrest, longer ICU stays, and in-hospital mortality. Learn how to avoid these risks by protecting your patients from peri-intubation hypotension.
Chapter 3

refractory hypoxia
Safe apnea time is the cornerstone of safe airway management. What do you do when critically ill shunt physiology is refractory to your standard preoxygenation efforts? Find out here.
Chapter 4

metabolic derangement
Severe acidosis puts your patient at risk of post-intubation cardiac arrest due to the rapid rise of pCO2 during the apneic period. Learn how to mitigate severe metabolic and respiratory acidosis to prevent post-intubation death by hydrogen ions.
Chapter 5

supporting the pump
During intubation, diminishing cardiac output can spiral into cardiovascular collapse without the ability to assess the pump and optimize prior to intubation. Learn how here.
Simulations

integrated simulations
Turn this learning space into an immersive flipped classroom and test your knowledge in our simulation.
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