I'd agree with Ed. My first ever cric was with a quick
trach which I then had to rapidly convert to open when I
broke it on insertion. The consultant ITU helping me at
the time commented that he'd had the same with another
overcannula type system 2 years before.
Have been involved in several open ones now, and they've
all worked fine. The only ones that were even remotely
hard were where the anatomy was grossly distorted and
would have been hard (harder?) with any other system.
Si.
On Fri, 15 Jun 2012 12:00:37 +0100
Victor Calland <[log in to unmask]> wrote:
> If you want to do the 4 step technique like Ed, I can
>let you have a
> cadaver lab video of the technique.
>
> Vic
>
> On 15 June 2012 11:34, Edward Valentine
><[log in to unmask]> wrote:
>
>> Personally I'd ditch the fancy kits and equip yourself
>>with a scalpel, a
>> bougie, tracheal dilators and a size 6 CoETT.
>>
>> Scott Weingart on the EMCrit Podcast has some great
>>teaching material
>> about surgical cricothyroidotomies using the bougie
>>technique.
>>
>> (My one experience with the Quick-Trach in real life was
>>that it was
>> fairly useless and I regret not having used the
>>"surgical" approach).
>>
>> Ed
>>
>>
>> Dr Ed Valentine
>> BM FCEM MRCP MSc (Critical Care) DipIMC RCSEd
>>
>> SpR Emergency Medicine and Critical Care
>> HEMS Doctor Great Western Air Ambulance
>> Immediate Care Doctor - Wiltshire BASICS
>>
>> [log in to unmask]
>> [log in to unmask]
>> Mobile: 07748 303324
>> www.swiftmedics.net
>>
>>
>> On Thu, 14 Jun 2012 23:06:39 -0600
>> Jel Coward <[log in to unmask]> wrote:
>>
>>> Hi all
>>>
>>> Have just been looking at this for the 'occasional'
>>>practitioner (likely
>>> most of us :)
>>>
>>> In Canada the Melker kit is common - almost the only, it
>>>seems. This is
>>> the full on Seldinger technique with a fine spring type
>>>guide wire.
>>>
>>> I worry about my ability to handle / thread that wire
>>>(even sort out all
>>> that kit) whilst the nurse is helpfully calling out the
>>>O2sat of 50% ;-)
>>> after I have chemically killed the patient in the hope
>>>that I could
>>> mechanically resuscitate them (ie. attempted RSI)
>>>
>>>
>>> In the past,k in the UK, I have played with the
>>>Mini-trach II -
>>> non-Seldinger -
>>>
>>> http://www.smiths-medical.com/**upload/products/mainImages/**
>>> Mini-Trach_II_Crico_kit.jpg<http://www.smiths-medical.com/upload/products/mainImages/Mini-Trach_II_Crico_kit.jpg>
>>>
>>> (not quite that photo - the kits we had had a large
>>>shoulder on the blade
>>> so that it could not be inserted too deep)
>>>
>>>
>>> So I was wondering what kit and techniques are around
>>>and favoured in the
>>> UK.
>>>
>>> Any contribs greatly received :)
>>>
>>> Cheers all
>>> --
>>> Jel Coward
>>>
>>> Some Open-Source and Creative Commons interests.....
>>> The CARE Course http://www.theCAREcourse.ca
>>><http://www.thecarecourse.ca/
>>> >
>>> Wilderness Medicine Twitter account
>>><http://twitter.com/#%21/**wemsiint<http://twitter.com/#%21/wemsiint>
>>> >
>>> WEMSI-International http://WEMSI-International.org <
>>> http://wemsi-international.**org/
>>><http://wemsi-international.org/>>
>>> OSCAR open-source EMR http://OSCARcanada.org
>>><http://oscarcanada.org/>
>>>
>>
>
>
> --
> Dr Vic Calland
>
> Honorary Treasurer
> British Association for Immediate Care
> www.basics.org.uk
> e-Learning Co-ordinator BASICS Education Ltd
> www.basics-education.co.uk
>
> Honorary Secretary
> BASICS NW
> www.basicsnw.org
>
> Director
> Eventmed UK Ltd
> www.eventmed.co.uk
>
> 48-49 Broadgate
> Preston
> Lancashire
> PR1 8DU
> 01772 828114
>
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