Coda Change Coda Change

 
Tim Cook uses individual cases and analysis of the systems, processes and human factors involved in unrecognised oesophageal intubation to investigate why this tragic occurrence is still a problem around the world. He offers us some tools and advice to prevent unregognised oesophageal intubation from happening in our practice.




This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022.
For more information about the CODA Project go to: https://codachange.org/ 

Nicholas Chrimes, Andy Higgs and Tim Cook - three of the authors of the recently published PUMA guidelines - outline their key recommendations for the prevention of unrecognised oesophagael intubation.
As a component of PUMA, these guidelines are intended for airway practitioners of all disciplines working in any context and have been endorsed by the world’s major airway societies.
This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022.
For more information about the CODA Project go to: https://codachange.org/ 

The mission of the Project for Universal Management of Airways (PUMA) is to create a single set of airway guidelines that provide consistent guidance for airway practitioners of any discipline, in any country, in any context. Following years of development these guidelines will be released in six separate papers over the rest of 2022. In this session, two of the authors, Nicholas Chrimes and Andy Higgs, will present highlights of the papers published so far.
This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022.
For more information about the CODA Project go to: https://codachange.org/ 

David Anderson describes the current state of play with airway management in the prehospital setting.
There are important differences between airway management in the prehospital environment and airway management in hospital. Prehospital intubation has been practiced for over 50 years and continues to evolve, with many techniques and procedures devised from prehospital use finding their way into ED and ICU practice. The main indications for prehospital intubation are cardiac arrest and severe TBI. 3 large studies show no evidence to support prehospital intubation in cardiac arrest and this practice should probably be reserved for specific cases. Prehospital RSI for TBI remains controversial as the evidence available to date is conflicting and isn’t high quality. While scene time if often commented on, there is no evidence available prehospital RSI increases time to CT or OR for patients with a severe TBI. There is no evidence that any one craft group is better at intubation than any other. In order to make prehospital airway management as safe as possible, innovations such as checklists, kit dumps and pre-drawn syringes are common. Many prehospital services invest much more heavily in the training and maintenance of airway skills than in-hospital specialties.
This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022.
For more information about the CODA Project go to: https://codachange.org/ 

Adam Rehak and Gerri Khong walk through the good, the bad and the ugly of human factors in airway management. Using video footage of a highly realistic (tachycardia inducing) simulated airway emergency, the multi-stage case discussion canvases both audience responses and the input of a panel of human factors experts: David Brewster, Brooke Dench, Ben Meadley and Ian Summers, to illustrate that airway management is far more than just a technical skill. Instead, it will become clear that success is equally dependent on careful preparation, coordinated teamwork, precise communication and effective cognitive tools.
This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022.
For more information about the CODA Project go to: https://codachange.org/ 

David Brewster describes the current state of play with airway management in the critical care setting, including a summary of the INTUBE study and the Safe Airway Society guidelines for airway management in COVID-19 patients.
This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022.
For more information about the CODA Project go to: https://codachange.org/