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The Ten Commandments of Airway Management

             by The Course Directors
Gordon Brock, MD, CCFP
&
Francesco Carli MD, MPhil, FRCA
Professor & Wesley Bourne Chair

logo-McGillUniversity.gif (1423 bytes)

 

from a course:
"Airway Management for the Emergency/Rural Physician"
McGill University, Dept. of Anaesthesia,  Montreal, Canada
c.f., the article "
The Ten Commandments of emergency airway management for the rural physician"

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1.  Remain Calm Yourself !
      I know it’s rough out there, but you can’t work if you panic.

 

2.  The First Priority Is ALWAYS, ALWAYS,  BAG-MASK VENTILATION.
      DON’T RUSH TO INTUBATE!

 

3.  Call For Help Early.
         Get an assistant.
There’s lots to do.

 

4.  Have An Organized "GAME PLAN".
     
Know what to do if what you’re doing works.
         Know what next to do ----if what you’re doing doesn’t work!

 

5.  If You CAN’T VENTILATE : INTUBATE!

 

6.  Keep Track Of Time.

 

7.  If Your First Intubation Attempt Does NOT   Work,
         ---Think  What To Do DIFFERENTLY  The Second Time TO SUCCEED!

 

8.  If You CAN’T   INTUBATE : VENTILATE!
       
If you cannot intubate on two tries, go back to the bag-mask.
            Try to oxygenate this way.

 

9. If You CAN’T  VENTILATE And CAN’T  INTUBATE : OPEN THE NECK!

 

10. Practice, Practice , Whenever You Can.
     
  These are perishable skills.

 


"The Ten Commandments of Airway Management"
[http://ENW.org/AirwayCommandments.htm]
written by Gordon Brock, MD CCFP & Dr. Francesco Carli
©Gordon Brock, MD CCFP & Dr. Francesco Carli
presented by Emergency Nursing World ! [http://ENW.org]
Tom Trimble, RN [Tom@ENW.org] ENW Webmaster
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