Implementation tool for airway Mx by @NicholasChrimes. Addresses human factors considerations to facilitate real time use by teams during a crisis.
Australia
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- Following 204
- Followers 3,744
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The Vortex Approach retweeted
This PUMA foundation guidelines rec facilitates implementation of a rec made by ALL guidelines: to limit the number of attempts at ETT & SGA
Reliably doing this reqs counting them out loud in real time
β1st attempt at intubationβ
In @Anaes_Journal
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The Vortex Approach retweeted
The PUMA Foundation guideline recommends all in-hospital airway practitioners should be able to intubate a patient awake.
It doesnβt have to be with a FB; it can be w VL, using a SGA conduit or via the neck.
Free full text in @Anaes_Journal
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The Vortex Approach retweeted
A message from DAS President Prof Alistair McNarry @altgm
Wondering why you should be at #DASWales26? Al has a few very good reasons..
π
11β13 November 2026
π ICC Wales
Please visit
das2026.co.uk for further details and to register
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The Vortex Approach retweeted
Our job as experts is to unpack intuition: What are we seeing? What patterns are we recognising? What makes us change course?
The ultimate demonstration of mastery is not knowing what to do, itβs being able to explain why, and teach someone else to do it.
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The Vortex Approach retweeted
Calling expertise a βsixth senseβ or βmuscle memoryβ risks turning mastery into mystique.
Yes, complex airway management demands experience. But expertise that cannot be articulated cannot be reliably taught, examinedβor improved.
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The Vortex Approach retweeted
Technique for hyperangulated videolaryngoscopy.
From the PUMA guidelines for providing a foundation for airway management
Full free text in @Anaes_Journal
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The Vortex Approach retweeted
Neck rescue technique
Detailed instructions for training & an emergency guide to prompt implementation
From the PUMA guidelines for providing a foundation for airway management
Free full text forever in @Anaes_Journal
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The Vortex Approach retweeted
Extubation algorithm
Helps link evaluation to strategy
From the PUMA guidelines for tracheal extubation
Free full text forever in @Anaes_Journal at associationofanaesthetists-pβ¦
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The Vortex Approach retweeted
Awake extubation sequence.
Provide trainees with a framework to approach extubation or use for potentially challenging extubations.
From the PUMA guidelines for tracheal extubation.
Free full text forever in @Anaes_Journal at associationofanaesthetists-pβ¦
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The Vortex Approach retweeted
Airway exchange catheter user guide
From the PUMA guidelines for tracheal extubation.
Free full text forever in @Anaes_Journal at associationofanaesthetists-pβ¦
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The Vortex Approach retweeted
Protective sequence extubation
Analogous to RSI at intubation this provides recommended precautions when extubating patients βat riskβ of aspiration.
From the PUMA guidelines for tracheal extubation
Free full text forever in @Anaes_Journal at associationofanaesthetists-pβ¦
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The Vortex Approach retweeted
Management of laryngospasm
From the PUMA guidelines for tracheal extubation
Free full text forever in @Anaes_Journal
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RT @UniversalAirway: Extubation checklist
From the PUMA guidelines for tracheal extubation
Free full text in @Anaes_Journal
https://tβ¦
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The Vortex Approach retweeted
Algorithm for troubleshooting inadequate ETCO2
From the PUMA guidelines for preventing unrecognised oesophageal intubation
Free full text forever in @Anaes_Journal
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The Vortex Approach retweeted
Criteria for βsustained exhaled CO2β
Provide a clear trigger for identifying when ETCO2 is βinadequateβ
From the PUMA guidelines for preventing unrecognised oesophageal intubation
Free full text in @Anaes_Journal
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The Vortex Approach retweeted
Consensus guidelines for preventing unrecognised oesophageal intubation.
The most widely supported airway guidelines ever published.
Free full text in @Anaes_Journal
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The Vortex Approach retweeted
This line in the Foundation guideline (citing the same paper) paraphrases the comment you made to me that inspired me to lift my HAVL game!
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The Vortex Approach retweeted
Exactly why the @UniversalAirway guidelines ask you to instead make an individualised assessment of whether management will be βrapid & reliableβ. The words βdifficult airwayβ do not appear in any of the guidelines.
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The Vortex Approach retweeted
Technique for cricoid pressure
From the Guidelines for providing a foundation for airway management
Full free text forever in
@Anaes_Journal at associationofanaesthetists-pβ¦
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