We are back for the second half of our conversation with Jeff Jarvis. If you missed the first half, go back and listen to Podcast #10 as it will make more sense. We discussed his EMS system that only uses video laryngoscopy (VL) with intubation. This is huge and unique with this group. However, it was a process to find what was best for him and where he acts as a medical director.
In this part of the conversation, we talk about the benefits of VL and how he chose the King Vision. He also reviews some of the protocols in place for their management of intubations in some unique settings including getting the tall device into the mouth during certain situations such as during cardiac arrest and patients with a soiled airway.
In our conversation, decapitation of the King Vision is discussed. Take a look at the picture to see what he means as there is a way to detach the head and will quickly restart.
Keep in mind, when a patient has a soiled airway, this does not make VL useless. If you remember, we had a conversation recently with the man behind SALAD, Dr. Jim DuCanto and how you can use suction to assist in clearing the soiled airway. This works no matter the method used for endotracheal intubation. Listen to both this podcast and the ones with Jim DuCanto for more detail on using VL along with some pointers for management.
Although our guest, Jeff Jarvis, did an amazing job reviewing the King Vision and why it was selected, there is also another detailed review by none other than another previous guest, Dr. Minh Le Cong. This review was posted on EMCrit and is available here.
Speaking of both Doctors Minh Le Cong (of PHARM) and Scott Weingart (of EMCrit), they are true leaders in their field. I want to thank them for all they have done for the FOAMED community (and the many others not mentioned here who have inspired me). Both have served as inspiration and having Minh on the show was hugely beneficial. He was a great guest and maybe one day I could be fortunate enough to have Scott on the podcast along with some other big names. The two of them have two "dream jobs" that I would love to do and find their expertise astounding.
That does not mean that others on the show such as Jeff Jarvis are not also important. In fact, sometimes the unsung heroes of our fields are the ones who need the most publicity. It was not until a chance post I saw on Twitter and then later on one of Minh's podcasts that I even became aware of him. It was through these FOAMED experiences that I was able to find something very unique that I thought should happen in medicine but was not aware of actually reaching practice yet.
Now our guest did use direct laryngoscopy (DL) once relatively recently while on a marathon. He admits not having VL on him at that time but that he was still able to manage the airway well. This should serve as a reminder to be good at both. You can still have a preference of one or the other but keep that in mind when training.
Did you like our podcast and blog? Do you have more questions? Our guest Jeff Jarvis is happy to talk to you. We also would like to hear your questions and get your feedback. Remember that you can contact both Jeff Jarvis and us on Twitter, Facebook, or by email. We know you have questions and you can also leave them here. No matter the way you communicate we ask that you leave it in an open, public area so that others can see it to help spread the education. If you get a chance, leave a review and 5-star rating on iTunes while you are at it. Thank you for listening. Until next time, continue to provide total care everywhere.
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