Programs

AIME Awake

Develop the skills and judgment required for safe, effective airway management in critical care settings. Our programs offer advanced, hands-on education designed to strengthen clinical decision-making in airway emergencies.

Learn, do, repeat.

For more than two decades, the Airway Interventions & Management in Emergencies (AIME) programs have equipped clinicians with practical, hands-on training in emergency airway management. Each course is designed with real-world practice in mind, offering immersive learning experiences that prepare physicians to confidently manage high-stakes airway scenarios.

AIME Awake Program

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Making awake tracheal intubation a real option for managing the anticipated difficult airway in patient’s requiring emergency airway management

Guidelines for airway management in patients with an anticipated difficult airway universally include the option of performing an ‘awake’ tracheal intubation (ATI). Performing a rapid sequence intubation (RSI) using video laryngoscopy has become a standard approach to facilitate tracheal intubation for airway management in emergencies, whereas experience in performing ATI is limited. Awake tracheal intubation however remains a necessary alternative to RSI in not only anticipated anatomically difficult airway cases, but also for selected physiologically compromised apnea intolerant patients. This program provides attendees with with an approach and the skills necessary to safely perform ATI when indicated. Instructors from Emergency Medicine and Anesthesiology along with specially prepared clinical cadavers provide an unparalleled unique high fidelity skills learning experience.

    • This program uses specially prepared Clinical Cadavers

    • 5:1 learner-to-instructor with pragmatic, experienced clinical educators from emergency medicine anesthesiology.

    • Review decision-making/ indications for awake tracheal intubation (ATI) for management of anatomically and physiologically difficult airway cases.

    • Practice topicalization techniques for ATI

    • Repetitive practice in oral and nasal flexible endoscopic intubation

    • Video laryngoscopy–assisted ATI training.

    • Learn-do-repeat rapid cycle deliberate practice to consolidate learning and maximize exposures.

    • Group discussions opportunities to review cases and address challenges clinician’s may encounter in their unique work environment.

    • Based on airway evaluation, indicate when ATI is the safest option for securing the airway.

    • Identify the components of awake tracheal intubation (ATI).

    • Communicate with the team and patient in preparation for and during ATI.

    • Perform effective topical airway anesthesia to facilitate well-tolerated ATI.

    • Use flexible endoscopy and video laryngoscopy to facilitate tracheal intubation in clinical cadavers.

    • Recognize when to enhance the standard airway evaluation with awake internal airway assessment and use flexible endoscopy or video laryngoscopy for the purpose.

    • Identify and manage difficulties that may arise during ATI.

  • 0800-0830   Arrival/registration/breakfast 

    0830-0850   Introduction and review of agenda and program logistics

    0850-0930   Didactic: Introduction to awake tracheal intubation (ATI)

    0930-1000   Hands-on 1: Topical airway anesthesia for ATI 

    1000-1020   Coffee break.    

    1020-1200   Hands-on 2: Oral ATI using flexible endoscopy

    1200-1240   Lunch 

    1240-1320   Hands-on 3: Oral ATI using video laryngoscopy  

    1320-1400   Hands-on 4: Nasal ATI using flexible endoscopy  

    1400-1500   Case simulations and discussion (with refreshments)

    1500-1600   Hands-on 5: Scenario based consolidation simulation

    1600-1630   Cognitive consolidation and wrap-up

    *Timings (other than start and finish time) and materials subject to change

  • CFPC: This activity has been certified by the College of Family Physicians of Canada and Nova Scotia Chapter for up to 6.75 Mainpro+ credits.

    RCPSC: This activity is an Accredited Simulation Activity (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by CAEP. You may claim a maximum of 6.75 hours (credits are automatically calculated).

    This program was developed by AIME Training (ATI) with support from the Canadian Association of Emergency Physicians (CAEP) and was planned to achieve scientific integrity, objectivity and balance.

  • CAEP Members: 1650 (CAD)

    Non-members: 1975 (CAD)

    Residents: 1450 (CAD)

  • Instructors for AIME are experienced educators and clinicians from across the country.