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EM CasesFront-of-neck access / surgical airway

EM Cases · Front-of-neck access / surgical airway

Declared CICO — scalpel-bougie-tube station

ACEM Fellowship OSCE resus station testing CICO declaration, adult scalpel-bougie-tube technique, and why needle is not the adult default.

resus1 min readVerification in progress

Target exams

ACEMFRCEMABEMFRCPCCCFPEMEBEEM
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Study tools

Target exams

ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Failed intubation and failed oxygenation after facial trauma; team reaches for a needle cricothyroidotomy set.

Station brief

Format. Clinical-management (resus) station, 11 minutes.

Emergency Medicine Pro

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Emergency Medicine fellowship library.

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References2ShowHide
  1. [1]Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth, 2015.PMID 26556848
  2. [2]Cook TM, Woodall N, Harper J, et al. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth, 2011.PMID 21447489
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