TOTAL EM
  • Emergency Professionals
  • For The Public
  • Our Friends
  • About Us and Disclaimer
  • Twitter
  • LinkedIn
  • Facebook
  • Contact Us

Emergency Professionals

Podcast #14 - Intro to Vortex Approach and a Little Star Trek

10/25/2016

0 Comments

 
Picture
The Vortex Approach is another game changer in airway management.  This podcast features Dr. Nicholas Chrimes reviewing this technique to manage the airway.  He also ties in some Star Trek in there (listen to the podcast to know who his favorite character is).
Let's talk first about the main diagram.  If you are not at all familiar with the Vortex Approach, visit their page first.  The first graphic shown above is the main one to know.  It has the most information and reminds us that there are three lifelines: face mask ventilation, endotracheal intubation, and supraglottic airway.  Although most will try to go in that order when managing an airway, the Vortex Approach shows no preference.  It does however remind you that a maximum of three attempts with any of these should be performed with at least one attempt by the most experienced clinician.  Unsuccessful best efforts escalates the airway further and gets closer to the CICO status.  CICO stands for "Can't Intubate, Can't Oxygenate" and is pronounce "Ky-Koh" when said out loud.  
Picture
Before we talk about CICO, let's discuss the Green Zone.  When a patient is in this zone, this is the best time to prepare.  Optimize the airway and the situation to the best of your ability.  This may have started as an unanticipated difficult airway, but it does not have to stay that way.  Use strategies from the Green Zone to facilitate as safe as an airway approach as possible.  We discuss a good situation of when to use the Green Zone in the podcast.  
Picture
Picture
What happens when the lifelines have failed?  In comes CICO and similar to the CriCon scale, there are three stages.  The two are different though whereas with CriCon2 all cases discuss potential surgical airway management and it ends with preparation.  It does not specifically go into the steps that are CICO rescue.  The CICO Status diagram is better to cover this part.  However, in most patients this should be quick and not require much thought.  Definitely train on this before you ever get in this scenario!
Picture
If you would like to read the paper (and it is definitely worth the read), click here for access.  Next week we will finish the Vortex Approach with discussing its implementation.  This is obviously a brief overview and a thorough visit to the Vortex Approach website is a must.  

TOTAL EM is staying busy to provide requested content and to continue serving those who follow the blog and podcast.  If there are any special requests message from the site or email at thetotalem@gmail.com to tell us what you would like.  

Please remember to visit and follow us on Twitter, Facebook, and iTunes.  TOTAL EM is a growing project and is always looking for help so if interested, feel free to contact.  We will be back soon.  Until then, continue to provide total care everywhere.

podcast_14.mp3
File Size: 26306 kb
File Type: mp3
Download File

0 Comments



Leave a Reply.

    Libsyn and iTunes

    We are now on Libsyn and iTunes ​for your listening pleasure!

    Archives

    July 2022
    June 2022
    June 2021
    April 2021
    March 2021
    February 2021
    January 2021
    December 2020
    October 2020
    September 2020
    August 2020
    July 2020
    June 2020
    May 2020
    April 2020
    March 2020
    February 2020
    January 2020
    December 2019
    November 2019
    October 2019
    September 2019
    August 2019
    July 2019
    June 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016

    Categories

    All

    Picture

    RSS Feed

Our Pages

Emergency Professionals
For the Public
Our Friends

Support

About Us and Disclaimer
Contact Us
© COPYRIGHT 2015. ALL RIGHTS RESERVED.
  • Emergency Professionals
  • For The Public
  • Our Friends
  • About Us and Disclaimer
  • Twitter
  • LinkedIn
  • Facebook
  • Contact Us