Podcast 92 – EMCrit Intubation Checklist - a podcast by Scott D. Weingart, MD FCCM

See Version 2

Intubation Checklist

Checklists

Since Peter Pronovost's landmark study on how a simple checklist can nearly abolish central line infections, checklists have been the darling of the medical literature. But central lines generally are for elective procedures, allowing us the time and patience to run through the list. Can we gain the same safety and cognitive benefits in an adrenaline-laden procedure like intubation? Hell yeah!

It all starts with the EMCrit Intubation Checklist





Download the checklist

The Components

HOp Killers

Here is the wee on the HOp Killers: Hemodynamic Kills, Oxygenation Kills, and pH Kills



* Intubating the Hemodynamically Unstable Patient

* Intubating the Patient at Risk for Critical Hypoxemia

* Intubating the Patient with Metabolic Acidosis



RSI or Awake? · DSI? · RSA? · ICP/Vascular?



* Awake Intubation Lecture

* More info on Delayed Sequence Intubation (DSI)

* Rapid Sequence Airway (RSA)

* ICP/Vascular Intubation



Are the peri-intubation medications ready?



Push-Dose Pressors



* Push-Dose Pressor Podcast and Mixing Sheet



What is the plan for unexpected difficult or failed airway?



* I use a modified version of the Shock Trauma Center Failed Airway Algorithm

* Cook Gas ILA (My preferred Extraglottic Airway)



Can the cricothyroid membrane be palpated?



* Cric-Con Approach to Cricothyrotomy Preparation



What is the plan for post-intubation sedation?



* A bad sedation package traps your patient in a nightmare



Is the patient positioned adequately?

from AirwayCam Site

Would the patient benefit from pre-intubation NGT?



* Intubating the GI Bleeder



Skills of Intubation

Laryngoscopy

http://vimeo.com/17542057

Video Laryngoscopy

Here are some tips

Cricothyrotomy

See this post for all things surgical airway

Post Intubation Management



* Ventilator Lecture

* The Package



Building Checklists



* The Checklist Project and their EMCrit Podcast

Further podcasts by Scott D. Weingart, MD FCCM

Website of Scott D. Weingart, MD FCCM