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Training videos

Difficult Airway Techniques

Difficult airways pose a significant challenge in medical retrieval, particularly in rural and remote settings. Some useful links to training videos on clinically relevant topics are listed here.

Cannula & scalpel cricothyroidotomy or tracheotomy techniques

The following techniques have been developed and recorded by Dr AMB Heard and colleagues in the Department of Anaesthesia, Royal Perth Hospital. They cover an algorithm and techniques for the 'Can't Intubate Can't Ventilate' scenario. Click on the links below to go directly to the videos in YouTube format.

Cannula cricothyroidotomy	A detailed description of how to safely and successfully insert a cannula through the cricothyroid membrane or trachea for emergency jet ventilation. Also how to quickly ensure correct placement. This is the first step for every case of can't intubate can't ventilate in flow chart shown.
Melker cricothyroidotomy	Description of how to convert a cannula emergency airway into a definitive airway. The authors do not recommend the Melker as a first line technique, but the only Seldinger cuffed airway that can be recommend for securing the airway.
Scalpel finger cannula technique	A Technique for managing the can't intubate can't ventilate scenario in a patient with no or little palpable neck airway anatomy. Assumesinitial percutaneous cannula attempts have failed.
Scalpel bougie technique	Surgical Technique for securing an emergency airway, aimed at anaesthetisist with little surgical experience and hence little exposure to scalpel use. Avoids any scalpel manipulation and is safe, simple and fast. Developed By Dr A Heard, Royal Perth Hospital Western Australia.
Cannula choice	A quick explanation of the choice of cannula for needle cricothyroidotomy.

The following training videos have been selected from publicly available material.

Intubating LMA

Use of the intubating LMA (Fastrach)	A good demonstration of the Fastrach intubating LMA device and the included silicon-tipped wire-reinforced endotracheal tube.
Self intubation with the intubating LMA	An interesting demonstration of awake intubation with an intubating LMA. Dr Chandy Verghese demonstrates the awake insertion of an iLMA® (intubating laryngeal mask airway) in himself after local anaesthetic spray and injection. The iLMA® is known as the LMA-Fastrach™ outside of the United Kingdom.

Laryngeal Mask Airways

LMA insertion	A good demonstation of insertion of a standard disposable LMA.
Insertion of Laryngeal Mask Airway LMA	Demonstration of insertion of classic LMA.

Sonography

Ultrasound in Trauma (FAST exam)	Instructional video on FAST exam in trauma, from the Hennepin County Medical Center Trauma Center.
Ultrasound diagnosis of AAA	Instructional video on diagnosis of abdominal aortic aneurysm from HCMC Trauma Center.
Ultrasound guided CVC placement	Instructional video discussing ultrasound guided central venous catheter placement from HCMC Trauma Center.

Vascular access techniques

EZ-IO Intraosseus Drill Adult Proximal Tibia	Instructional video on EZ-IO insertion in the proximal tibia of an adult.
EZ-IO Intraosseus Drill Adult Humeral Head	Instructional video on EZ-IO insertion in humeral head of an adult.
EZ-IO Intraosseus Drill Adult Distal Tibia	Instructional video on EZ-IO insertion in the distal tibia of an adult.
Classical Cook Intraosseus Needle in Child Proximal Tibia	Instructional video on classical insertion of a Cook intraosseus needle in the proximal tibia of a child.

Training videos

Difficult Airway Techniques

Cannula & scalpel cricothyroidotomy or tracheotomy techniques

Intubating LMA

Laryngeal Mask Airways

Sonography

Vascular access techniques

Use of the intubating LMA (Fastrach)

Self intubation with intubating LMA

LMA insertion (disposable)

Insertion of Laryngeal Mask Airway LMA

Ultrasound in Trauma (FAST exam)

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