ACE Inhibitor mediated Angioedema

A 71 year old male with a history of COPD and heavy ongoing smoking habit, presented to the emergency department with a 3 hour history of tongue, mouth and throat swelling. He had awoken from an afternoon nap with the symptoms and initially refused to come to hospital. By the time he arrived he was…

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My top 8 tips for getting the tube.

Here are my top 8 tips for succeeding at intubation. 1. Use a Video Laryngoscope(VL), or at least have one nearby Okay, maybe a little controversial still.  But if there is some way that you can get your hands on one, have it on standby. In a  statement several years ago, Ron Walls said that VL…

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Intubation in SARS-CoV-2

Here is a quick review of how we are approaching  intubation of potential COVID-19 patients at our hospital.  Please develop your own strategy and base it on your resources. The evidence for a lot of what is done is consensus-based. There is a lot of material coming out. Here is a quick summary. A new paper…

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Should we intubate in the ramped position?

I’ve spoken on awake intubationat the EMCORE Conferences, especially at the last Masterclass. I also spoke about the potential benefits of intubating patients in the ramped positionie., head of the bed up at 25-30 degrees. Mostly this is based Off studies, using operating theatre patients that have already been intubated, then disconnected from oxygen sources and observed to see how long…

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Stylet or Bougie for Intubation

As many of you will know, I’ve been teaching airway workshops now for many years, and have put over 3500 doctors through the Advance Airways Workshop. I teach equipment in the following way:Your weapon of choice is the size 3 curved blade.Everyone gets a 7.5 tube in the emergency situationAlways use a stylet and bend…

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My Rules for Getting the Airway

There are all these fancy terms out there in respect to airway. There’s apnoeic oxygenation, delayed sequence intubation, the vortex etc….. Let me tell you something, you already know. This stuff has been around in one form or another for a while, but we have discovered its application to emergency medicine only recently. After giving…

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