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A Message from the Founders of
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Dear Friends of Airway World,
Keeping you on the cutting edge of airway management is one of the primary goals of Airway World. We know that you are very busy so we need to make it easy for you to keep abreast of advancements in this dynamic field. Here are a few simple suggestions:
* Attend the quarterly research review webinars held in March, June, September and December in the Auditorium.
* Read the one-page Journal Watch research summaries that are posted every month in "The Journal Watch Collection."
* Check out the Exhibit Hall to see new and leading airway products on the market.
We look forward to seeing you in Airway World soon!
Sincerely,
Ron M. Walls, MD
Michael F. Murphy, MD
Robert C. Luten, MD
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| The Collection | |
Visit The Collection in Airway World to see:
The Anesthesia Collection
The Emergency Medicine Collection
The Critical Care Collection
The Pediatric Collection
The EMS Collection
The Journal Watch Collection
The Webinar Collection
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| A Brief Note | |
Dear Airway World Members,
It was such a thrill to meet Airway World members at the Society for Airway Management meeting in Scottsdale last month! I appreciated hearing about the different ways you use Airway World for your own benefit and for the benefit of your residents and students.
It was especially exciting to meet Airway World's biggest fan from India!
Until we meet again,
Terry T. Steele
Executive Director (860) 679-9285


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| Airway World Update | | | Airway World Invites Educators Into New Training Hall |
Airway World invites educators to build and manage their own training booths in Airway World. These customized booths will allow educators to assemble airway resources in one place for the benefit of their residents, students or colleagues. The educational materials (videos, links, webinars, quizzes, articles, research summaries, etc.) selected for a customized booth can come from the vast Airway World library or from the booth manager's own sources. We will select 10 organizations to participate in this free program at the start and will make additional opportunities available over time. If your organization is interested in participating, please email Terry T. Steele at tsteele@theairwaysite.com. | |
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Schedule of Interactive Events |
| Save the date!
October 14, 2011 1:00 PM EDT Airway World Auditorium Airway Challenges in Air Medical Transport (webinar) Are you an active or aspiring flight nurse, flight medic, flight RT or flight physician? You know this is an exciting but challenging profession where you will manage some of the most difficult airways in small spaces and hectic places with very little back-up. Heck, you ARE the back up. Tune in to this interactive webinar led by Darren Braude, MD, EMT-P to get the latest updates in airway management for air medical transport professionals. Dr. Braude will use a variety of case studies to stimulate discussion on topics such as 1) the entrapped patient, 2) airways before transport vs in-flight, 3) video laryngoscopy, 4) awake intubation, 5) optimal preoxygenation strategies, 6) predicting the difficult airway and much more! For an Outlook Reminder: 1. Click here 2. Open 3. Save & Close
November 3, 2011 3:00 PM EDT Airway World Auditorium
Top Pediatric Airway Articles: A Year in Review (webinar)
Join Josh Nagler, MD, Director of the Pediatric Emergency Medicine Fellowship Program, Children's Hospital Boston, for a look at the most influential and interesting pediatric journal articles from 2010-2011. Articles from the pediatric, anesthesia and emergency medicine literature will be reviewed as part of a broader discussion focusing on the challenges of pediatric airway managment.
For an Outlook Reminder: 1. Click here 2. Open 3. Save & Close
November 30, 2011 7:00 PM EST Airway World Auditorium
Low Cost Lifesavers: Airway Management on a Budget (webinar)
Purchasing airway management equipment may be a challenge for budget-strapped hospitals and EMS agencies. In this webinar, Steven Carleton, MD, Professor of Emergency Medicine, University of Cincinnati College of Medicine, highlights important airway devices that cost less than $2,000. All devices included in this webinar are taught in The Difficult Airway Courses™ (or covered in the Manual of Emergency Airway Management) so you can be sure that they are backed by clinical evidence and expert experience. Don't miss this opportunity to enhance your airway management capabilities without breaking the bank!
For an Outlook Reminder: 1. Click here 2. Open 3. Save & Close
December 14, 2011 2:00 PM EST Airway World Auditorium
Quarterly Research Review with Ron M. Walls, MD (webinar)
It's easy to stay current in the field of airway management with these quarterly research reviews! Dr. Walls selects the most relevant research from recently published articles, shares their results and discusses their impact on the practice of emergency airway management.
For an Outlook Reminder: 1. Click here 2. Open 3. Save & Close
HOW TO PARTICIPATE: A link to each webinar will be listed in the Airway World Auditorium. Click on the link when it becomes live 30 minutes before the start of the program. You will be taken to the webinar where you will enter your name and email address to join the session. Limit 100 per session.  |
| Introducing the Electronic Airway Education Log | | A Step Toward Defining Competency in Airway Management
"How does one define competency in airway management?" That is the question that sparked a lively discussion among a small group of anesthesiologists at a Society for Airway Management (SAM) meeting in 2009. Among this group was Dr. Tracey Straker, Associate Clinical Professor of Anesthesiology at Einstein College of Medicine in Bronx, NY. "This informal group and our discussion took on a life of its own. It turned into a research project and a publication about this very important question," says Dr. Straker.
In the publication, A survey of airway training among U.S. and Canadian Anesthesiology residency programs, the researchers revealed great disparities in how residency programs define competency in airway techniques. They concluded that more empirical data on competent performance was needed to make recommendations for how many procedures were necessary for developing competency.
Viewing this as a call to action, Dr. Straker set out to create a mechanism to track the airway management activity of anesthesiology residents. With the support of Montefiore Medical Center and a grant from SAM, the electronic Airway Education Log was born.
The Airway Log is an on-line database for self-reporting of airway management cases at the point of care. Residents enter relevant information about their experience managing each airway including the modality for intubating, the number of attempts, complications and the name of the faculty member who guided them. They can also add comments about interesting or unusual circumstances surrounding each case. Each resident has access to his/her own data set and Residency Directors can view the group's results.
Dr. Straker is pleased with the results she has seen at her institution with the residents in her difficult airway rotation. "I can now easily track how many intubations my residents do, what adjuncts they use and what issues they face. I can get involved if I notice that a resident is falling behind and make more opportunities available to him or her."
Residents can use the system to guide their own learning, too. "With their airway history laid out before them, they can see where more practice is needed and begin to formulate what works best for them when managing a difficult airway," Dr. Straker adds.
Nine institutions from three countries currently use the Airway Log. "The greatest benefits will come when many institutions from around the world are enrolled," Dr. Straker emphasizes. "Then we will have an invaluable data set that can help us define how best to develop competency in airway management."
To learn more about the Airway Log or to enroll your residents, please contact Tracey Straker, MD at tstraker@montifiore.org. The enrollment process is easy and participation is free.
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Airway Challenge #3: Roommate to the Rescue |
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It's 3:30 am when a 52 year old male arrives to your academic ED, from the scene, with lethargy and facial burns. By report from paramedics, he was smoking in bed last night around midnight, wearing nasal oxygen (has a history of COPD on continuous home oxygen) and suffered flash burns to his face. The patient did not notify EMS; however, his roommate called after smelling "something burning upstairs" and found him in bed. Per paramedics, he was arousable to physical stimuli only. No signs of blunt trauma. They did not place him in cervical precautions. They applied facemask oxygen with a bag reservoir at 10L/min flow. Vitals upon arrival: HR 104, RR 8, BP 132/75, Afebrile, Sa02 96%. He is somnolent and will not comply with verbal commands.
Quick inspection reveals second degree burns over 80% of his anterior face and upper neck. Parts of his bushy beard have "melted" but much of it remains. His eyebrows and nasal hairs are burned and the skin over both lips is peeling. His lung sounds are coarse with rhonchi bilaterally and a slightly prolonged expiratory phase. Upper airway auscultation reveals intermittent inspiratory noise, unclear whether it represents stridor. Oral examination is difficult as he bites down reflexively on anything placed near his tongue and he won't open his mouth on command. An IV is started and he is placed on the monitor. A portable CXR is pending. You think he needs intubation and request the difficult airway equipment be brought to the bedside (flexible bronchoscope, I-LMA, cricothyrotomy kit and a GlideScope are all available). The trauma surgeons arrive and request a 7.5 ETT be placed to facilitate bronchoscopy in the ICU. You examine his nares carefully and discover a deviated septum. You think the best way to intubate is fiberoptically through the nose. You apply afrin and topical anesthetic to both nostrils. Gentle attempts to pre-load a 7.5 and 7.0 ETT meet early, firm resistance although a 6.5 ETT will squeeze through.
What do you do now?
.Click here to see our answer.
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