Opinion Archives
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I'll be back
April 5 2024 Opinion Corner
I've been away in more ways than one. In my 60's and every year seems to... ...read more
BOUGIE BOUGIE BOUGIE... It's an adjunct to Optimized Laryngoscopy!
December 20 2021 Opinion Corner
Ok so what's new about something that's been around for so long. The tra... ...read more
Human Factors and System Design in Emergency Airway Management- Society For Airway Management 2021
November 10 2021 Opinion Corner
This is the the Richard Aghababian Emergency Airway Lecture I presented at the S... ...read more
COVID-19 Airway Management Grand Rounds May 2021
May 14 2021 COVID-19 Materials
On May 12 we had limited 'seats' by Zoom. Appologies. This is now open a... ...read more
Master folder COVID19 Materials Updated 07/05/21
May 7 2021 COVID-19 Materials
For full resolution Materials: Select hyperlinked download. 2021 Ver... ...read more
Laryngoscopy and Bougie Pearls and Pitfalls Part 2: How to
February 2 2021 Opinion Corner
Part 2 is a deeper dive into the 'how to' use the bougie focusing on the... ...read more
Laryngoscopy and Bougie Pearls and Pitfalls Part 1: When and Why
February 2 2021 Opinion Corner
This is Part 1 of a deep dive into bougie use as an adjunct for laryngoscopy. Th... ...read more
EM Grand Rounds: Optimizing the DangerousER Airway in Dangerous Times
February 1 2021 Opinion Corner
These were Grand Rounds. It's about what the title says. Upload December 29 ... ...read more
Airway Management Guidelines for Patients with Known or Suspected COVID-19 Infection Version 4.23 May 4 2021
January 25 2021 COVID-19 Materials
This is version 4.23 of our Provincial Document (5th iteration). It will be hous... ...read more
CPAP Recruitment and De-recruitment
December 17 2020 Opinion Corner
Part 1: Using Clinical Cadavers we've tested various flow/PEEP combinations ... ...read more
A Mass Casualty In Slow Motion: Emergency Medicine During the COVID-19 Surge in New York City
May 13 2020 COVID-19 Materials
A must read personal account by Reuben Strayer of EM Updates describing th... ...read more
“Silent hypoxaemia” and COVID-19 intubation
May 2 2020 COVID-19 Materials
Anaother great post from LITFL: “Silent hypoxaemia” and COVID-1... ...read more
Trying to understand the pathophysiology of the 'tolerant hypoxemic'
April 25 2020 COVID-19 Materials
We are learning about a new disease and the way it presents. From what we know, ... ...read more
COVID19 Airway Management Approach Videos
April 25 2020 COVID-19 Materials
COVID-19 Approach Videos
Note: Updated Materials in May 2021 COVID19 Airway Management Grand RoundsThere ... ...read more
Approaches to CPAP Preoxygenation and Apneic CPAP
April 24 2020 COVID-19 Materials
COVID-19 Procedure Videos
Note: Updated materials summarized in May 2021 COVID19 Airway Grand Rounds1. Tra... ...read more
Optimized COVID19 Video Laryngoscopy both Mac and Hyperangulated
April 23 2020 COVID-19 Materials
COVID-19 Procedure Videos
1. Optimized Macintosh (Standard Geometry) Video Laryngoscopy ... ...read more
Recommendations for PPE in the Emergency Department During COVID-19
April 22 2020 COVID-19 Materials
Recommendations for PPE in the Emergency Department D... ...read more
(Update) Emergency Cricothyrotomy (emergency Front of Neck Airway)
April 11 2020 COVID-19 Materials
COVID-19 Procedure Videos
Practice this using low fidelity models. Do it 30 times. Close your eyes go thro... ...read more
Life In The FASTLANE (LITFL) COVID19 Materials
April 6 2020 COVID-19 Materials
Great resource describing the illness as per usual by LITFL updated weekly (clic... ...read more
Canadian Anesthesiologists' Society COVID19 Resources
April 3 2020 COVID-19 Materials
COVID19 resources from Canadian Anesthesiologists' Society Website ...read more
Why do we recommend routine use of a bougie with Macintosh Video Laryngoscope
April 1 2020 COVID-19 Materials
Bougie lessons from the literature and experience So the Driver study&... ...read more
2-handed mask application/ventilation: Use the V-E grip as part of an aggressive jaw thrust
March 30 2020 COVID-19 Materials
COVID-19 Procedure Videos
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EM Cases: Protected Intubation for COVID-19
March 29 2020 COVID-19 Materials
"There are many complicated guides on airway management and protected intub... ...read more
Probably the most important approach video for healthcare providers managing COVID19 patients
March 25 2020 COVID-19 Materials
COVID-19 Approach Videos
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First pass success depends on first pass anticipation of difficulty: Optimized hyperangulated laryngoscopy and intubation
December 25 2019 Opinion Corner
The difficult airway is often iatrogenic. Challenges may have nothing to do with... ...read more
First pass success depends on first pass anticipation of difficulty: Optimized bimanual Macintosh laryngoscopy and intubation
December 19 2019 Opinion Corner
The difficult airway is often iatrogenic. Challenges may have nothing to do with... ...read more
The Dangerous Airway
December 18 2019 Opinion Corner
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EMCrit's Kovacs Kata
August 9 2019 Opinion Corner
Scott Weingart posted this on EMCrit. It's a version of optimization or best... ...read more
EMCrit post on ketamine for Dissociated Awake Intubation: My rebuttal while smoking brisket
May 17 2019 Opinion Corner
There has been some great dialogue and discssion on how ketamine is used to faci... ...read more
Ketamine for Intubation
May 13 2019 Opinion Corner
What are the risks and benifits of using ketamine to facilitate intubation? Does... ...read more
Infinity Edition Excerpt: Sugammadex
April 14 2019 Opinion Corner
Here's an excerpt from our recently posted Airway Pharmacology Chapter in Th... ...read more
Infinity Edition Excerpt: Ketamine
April 14 2019 Opinion Corner
Here's an excerpt from our recently posted Airway Pharmacology Chapter&... ...read more
Checklist Check-up Version 6
January 13 2019 Opinion Corner
Airway management in emergencies is always complex and the most important factor... ...read more
The Ramsay approach for safe scalpel finger bougie crics
December 19 2018 Opinion Corner
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EVLI for optimized first pass success laryngoscopy and intubation
December 19 2018 Opinion Corner
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Five Things That Need To Change Now About Current Airway Management Practices
November 23 2018 Opinion Corner
Society for Airway Management, Ovassapian LectureChicago 2018, J Adam LawD... ...read more
AME Infinity Edition Excerpt: Awake How To
November 4 2018 Opinion Corner
Preparation of monitors, oxygen, BVM device with a PEEP valve, suction, endotrac... ...read more
AME Infinity Edition Excerpt: Awake, When and Why
November 4 2018 Opinion Corner
When and Why to do an Awake Tracheal IntubationAn awake intubation should be con... ...read more
Waveform Capnography for Emergency Airway Management
September 26 2018 Opinion Corner
It's been too long since we've posted something. Appologies. Here is an ... ...read more
“We need to move away from EtCO2 detection in the ED”…
May 11 2018 Opinion Corner
WTF! For many years, end tidal CO2 has been considered the objective ... ...read more
Excerpts from Airway Physiology and Anatomy: A Deep Dive Chapter in Airway Management in Emergencies the Infinity Edition
April 18 2018 Opinion Corner
Airway Anatomy: Its ImportanceA clear mental picture or "gestalt" o... ...read more
Airway Opening: Managing your enemy, It's the simple stuff that saves lives
February 19 2018 Opinion Corner
In general we've always taught that its the simple stuff that saves lives. A... ...read more
Infinity Edition Next Chapter: Active Airway Management: A Prioritized Approach to Tracheal Intubation
February 17 2018 Opinion Corner
Key Points: Check it outThe fundamental goals of airway management ar... ...read more
Welcome to the Infinity Edition of Airway Management in Emergencies
January 12 2018 Opinion Corner
It's been too long, almost 7 years since the last edition of our textbook... ...read more
The ABCDEs of Airway Management in the Critically Ill
December 26 2017 Opinion Corner
We've all grown up in acute care medicine drinking the ABC elixir to help gu... ...read more
What does waveform capnography look like in an ETT that is in a supraglottic position
October 22 2017 Opinion Corner
There was a recent case of a trauma with facial injuries that was intubated preh... ...read more
More on 3 moves to help ETT advancement with hyperacute VL blade use
August 29 2017 Opinion Corner
In my last post Too much of a good thing I reviewed the importance of Hyperacute... ...read more
EMCrit Wee: Massive Hemoptysis
July 31 - August 1 2017 Opinion Corner
George Kovacs left a great comment on the hemoptysis post:Great discus... ...read more
Too much of a good thing can be bad with VL
August 1 2017 Opinion Corner
Seeing is believing but to much of a good thing can be bad as demonstrated in th... ...read more
Airway management quickie pearls
July 1 2017 Opinion Corner
Here are a couple more 90 sec twitter pearls posted recently: ...read more
The Psychologically Dangerous Airway
June 7 2017 Opinion Corner
I've been giving a version of this talk over the past several years to vario... ...read more
Airway Pearl: Get a grip
April 19 2017 Opinion Corner
When gripping a direct laryngoscope choke up on the blade. Here's a qu... ...read more
Airway Pearl: Make DL great again
April 9 2017 Opinion Corner
The hidden story in the VL-DL discussion is that DL skills have deteriorated sig... ...read more
Airway Pearl: Don't over-ventilate your patient
March 25 2017 Opinion Corner
While gas exchange defines both oxygen delivery and CO2 removal, effective oxyge... ...read more
Wake up and make awake intubation an option
March 7 2017 Opinion Corner
I posted an interview with a master of the awake intubation Dr. Ian Morris as Pa... ...read more
Sleepless in Halifax
February 8 2017 Opinion Corner
I have had the great geographical fortune of living in Halifax which has been a ... ...read more
Light Camera Action: Redirecting Videolaryngoscopy
January 19 2017 Opinion Corner
This is a re-post of a piece that was published on EMCritGeorge Kovacs a... ...read more
Standing in a Canoe
October 5 2016 Opinion Corner
So there are no shortages of guidelines and decision rules designed with the int... ...read more
The Psychologically Difficult Airway SAM Atlanta 2016
September 17 2016 Opinion Corner
Thanks for the great feedback from my talk at the Society for Airway Management ... ...read more
Airway Ultrasound: Prime time or waste of time?
August 25 2016 Opinion Corner
There are an increasing number of publications describing the role of POCUS in a... ...read more
Macintosh Video Laryngoscopy: Why does it add value?
August 3 2016 Opinion Corner
7 Reasons why Mac VL adds value:Congrats John Sakles, Jarod Mosier and others on... ...read more
Twist and Shout your ETT: go Left with Bougie go Right with Stylet
July 23 2016 Opinion Corner
ETT advancement problems are not uncommon scenario but can easily be overcome if... ...read more
Preloaded d-grip bougie use caution
July 22 2016 Opinion Corner
There is great benefit to simplifying a process to minimize adverse events and i... ...read more
Introducing Airway Art from the Airway Gladiator
May 18 2016 Opinion Corner
I still consider myself new to FOAMed. It was a matter of necessity as an educat... ...read more
Pearls for front-of-neck emergency airway management
May 16 2016 Opinion Corner
There have been a few emergency surgical airway (ESA) success stories ... ...read more
SMACC byte: Airway Management Kata
April 27 2016 Opinion Corner
In times of stress it is often difficult for clinicians to retrieve vital inform... ...read more
AME 3rd ed Excerpt: Pearls and pitfalls of preoxygenation and apneic oxygenation using HFNO
April 1 2016 Opinion Corner
Airway Management in Emergencies 3rd edition book excerpt from Chapter 4... ...read more
Is there a role for awakening the critically ill patient?
April 1 2016 Opinion Corner
Is there a role for Sugammadex to awaken the patient with a failing airway? Perh... ...read more
What about aerosolizing lidocaine to topicalize the airway?
February 3 2016 Opinion Corner
We've been trying to simplify an approach to topicalizing the airway for wha... ...read more
Awake Intubation after Topicalization of the/my airway and the Penetrating Neck Injury
January 28 2016 Opinion Corner
Several years ago we reviewed a paper presenting a case series of airway managem... ...read more
Airway Topicalization the Recipe for a Successful Awake Intubation
January 27 2016 Opinion Corner
Awake intubation is all about cooperation and cooperation is all about making th... ...read more
Apneic CPAP using Passive High Flow Oxygenation with BVM/PEEP valve and Nasal Prongs
December 13 2015 Opinion Corner
We have the great privilege of having access to clinical cadavers. These gifts h... ...read more
Aggressive Airway Management for Massive Epistaxis
December 6 2015 Opinion Corner
Drs George Kovacs and Sam Campbell have a spontaneous 'out of the box' c... ...read more
DAS Guidelines Highlights (Updated Walkabout)
November 22 2015 Opinion Corner
I happened to be at the World Airway Management Meeting (WAMM) in November fo... ...read more
Rock still Rocks
November 2 2015 Opinion Corner
Rocuronium versus succinylcholine for rapid sequence induction intubationDiem Tt... ...read more
3 Ways to Bougie
October 30 2015 Opinion Corner
A Seldinger technique doesn't have to involve a wire. In an emergency settin... ...read more
Glidescope Titanium Orientation
October 19 2015 Opinion Corner
We are replacing our first generation Glidescope with the new Titanium version. ... ...read more
Fun Glove PEEP Demo
October 13 2015 Opinion Corner
This was a fun demo showing what PEEP does. ...read more
Airtraq iphone adapter
September 30 2015 Opinion Corner
The recently released iphone adapter for Airtraq. Pretty easy to use with good q... ...read more
Understanding your equipment... The BVM
July 24 2015 Opinion Corner
Oxygen delivery using a Manual Resuscitator (aka bag-valve mask/BVM device) is c... ...read more
Success and the Four Cs
July 20 2015 Opinion Corner
Whether it's my kids or an aspiring physician the message is the same. Succe... ...read more
Humbled by their Gifts after Death
June 3 2015 Opinion Corner
I have previously discussed the educational challenges of addressing the high ac... ...read more
Video Laryngoscopy Pearl: Not So Close
April 9 2015 Opinion Corner
When performing VL it seems intuitive that bigger is better on the screen. The 2... ...read more
Why I like flexible bronchoscopy as a difficult airway option and Boston Cream donuts
April 6 2015 Opinion Corner
Fitzgerald et al. 'From darkenss into light' Anaesthesia 2015I ... ...read more
Is it time to deemphasize wire-guided emergency cricothyrotomy... YES
April 5 2015 Opinion Corner
The Difficult Airway Society agrees in their upcoming 2015 updated guidelienes t... ...read more
Complexity, Mental Rehearsal and Responding in Emergencies
March 26 2015 Opinion Corner
The tragic air crash in the French Alps this week makes us reflect not only on o... ...read more
So what is your plan A,B&C?
March 13 2015 Opinion Corner
Having a Plan is not an isolated cognitive aid for you alone, its something... ...read more
Safety & The Laryngoscopy Debate
March 3 2015 Opinion Corner
Perhaps direct laryngoscopy (DL) is becoming a dying art. Is this move in ... ...read more
Just Breathe
February 8 2015 Opinion Corner
One of the greatest challenges of emergency airway management is managing our ow... ...read more
Opinion Corner: Defining quality of care for airway management in emergencies
February 4 2015 Opinion Corner
With growing data from airway management registries it is time to move away from... ...read more
The first AIME Advanced program completed
January 30 2015 Opinion Corner
After 15 years and over 200 courses in Canada and elsewhere it was time to ad... ...read more
VL or DL Doesn't Matter- It's about having a Plan A,B,C!
January 14 2015 Opinion Corner
We get asked quite frequently to wade in on the DL versus VL debate, the new ver... ...read more
Home Depot Ryobi Experiment
January 7 2015 Opinion Corner
Ryobi video inspection camera available at Home Depot for 99 dollars. It connect... ...read more
Opinion Corner: The competence-experience gap (Part 2)- The problem with plastic
December 20 2014 Opinion Corner
"Quick, get the machine that goes ping, the hospital administrator are c... ...read more
AIME airway literature
December 5 2014 Opinion Corner
Join the over 500 followers of the AIME Airway public folder containg recent air... ...read more
Opinion Corner: The competence-experience gap (Part 1)
December 5 2014 Opinion Corner
How do you become competent and stay competent in performing potentially life... ...read more
AIME is Offering New Programs!
December 5 2014 Opinion Corner
AIME Advanced Clinical Cadaver Program: This program is designed for the cl... ...read more
