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The Preloaded Bougie



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In contrast to the standard bougie technique which works best with an assistant, the preloaded bougie is ideal for the single operator. It’s fast, effective and doesn’t require an extra set of hands. Because the bougie is “preloaded” it also makes the movements of intubation more efficient.

The Online Learning Space

Enhanced Digital Content

Use this learning space in two ways. As an online course, scroll down and enter the online learning space. Explore each section below, or use the navigation tool to go directly to the content you’re interested in. Then, use this enhanced digital content in one of our pop-up physical spaces for hands-on procedure training, skills challenges, and expert coaching.


Rapid Review

insta style

Watch the rapid review video here of the d-grip preloaded style by PAC faculty @ResusOnTheRoad then go ahead and take a deep dive into all the rest of the content. Enjoy 😊

Procedure Video

Ready to dive a little deeper? Here’s a full demonstration of the preloaded bougie technique. Perfect for the single operator when you don’t have a spare set of hands.


It’s the little details that matter, and we’ve captured all of them here with our helpful GIFs. Go ahead and review this collection of microskills so that you can perform this procedure flawlessly. Even better, grab a bougie, tube & syringe and follow along to encode those tactile skills into your long-term memory 🧠👇.


When things go wrong you need to be able diagnose the problem and address it in real time. That means having a toolbox of troubleshooting skills for common problems. Spend some time reviewing these and add them to your toolbox.

The bougie is too short!

NOTE: not all bougies are the same length. For this preloaded bougie technique we recommend a 70cm length to introducer to ensure your able to secure it in the trachea.

The Physical Learning Space

Procedures, Skills, Coaching

integrated digital & Physical space

This online learning space has enhanced content designed to be part of an immersive, hands-on training lab. The interactive graphic posters create pop-up learning in the physical space for procedure training, skills challenges, expert coaching, simulations, and team training opportunities.

Guided Practice

HANDS-ON training

Remember, if you’re in one of our pop-up learning spaces or a PAC Live event, find this icon and use the multimedia tools for hands-on guided practice.

  1. Look for this icon.
  2. Snap the QR code.
  3. Begin your hands-on practice.
  4. Get feedback on your skills.

Don’t forget to ask our faculty coaches for real-time expert feedback and earn points!

User Guide

Open this to help guide you through the space and earn credit toward completion.

  1. Open the guide to a tab on your browser.
  2. Visit each poster & review the content.
  3. Complete any challenges to earn points.

Curated MedEd

Pick up some great airway pearls related to this topic and build your learning network by checking out the curated FOAM educators we have for you here. 🧼

One of our favorite FOAM educators! Dr Yen Chow and his great video on the preloaded bougie. Pay particular attention to how he holds it. Then follow him on Twitter for regular airway pearls (we do).

What’s Next


Congratulations! You’ve completed this section of the learning space. Collect all the available points before moving on to the next poster to explore all the interactive and hands-on learning opportunities. 

Online Only

If you can’t be with us in person, you can still use this enhanced digital content as an online course. Visit the digital home page of this learning space by using the link below. Otherwise, head to the next poster above to continue through the physical learning space.

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