When things go sideways, don't be passive
How can we harness a team appropriately?
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeN84YlXkAAiZgW.png)
![](https://pbs.twimg.com/media/EeN9UATXsAA8kPW.png)
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10-12 teaching cases in the back are worth reading
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeN9rkyXsAA41wo.png)
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeN92D5WkAgfZdH.png)
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- people not expecting badness
- inadequate preoxygenation
- hesitency to cric
- @drlauraduggan at #HRreloaded
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeN-iqNXsAcZvCi.png)
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeN-562XgAAsRd5.png)
- improves supraglottic
- improves facemask ventilation
- improves intubation
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeN_KybXkAE44RG.jpg)
![](https://pbs.twimg.com/media/EeN_ONiWkAEREsd.png)
- @drlauraduggan at #HRreloaded
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- esophageal intubation: 6th tidal volume will dissapear
- no trace wrong place
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeN_g89WkAA2pwW.png)
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeN_zI8X0AIEDRu.png)
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOABXSX0AIbPoS.png)
- etCO2 is best real-time indicator of whether we are ventilating. Ventilation falls first, oxygenation will inevitably follow (but may delay).
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOAKDqWkAA89Xq.png)
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOAqVZWkAAfhRC.png)
![](https://pbs.twimg.com/media/EeOA2agWoAA56XL.jpg)
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOA9E7XoAIkVQd.png)
![](https://pbs.twimg.com/media/EeOBF6ZXsAAE-oB.png)
fast learning curve
very frequently salvage CVCO situations
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOBQhGWoAIgLFk.png)
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOBeIhWAAEr-Bs.png)
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOBzJpWkAI59uF.png)
always start with vertical incision at least 4-6 cm
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOB61HWsAAQ9QE.png)
![](https://pbs.twimg.com/media/EeOCJTtXkAIaZqh.png)
- VL to improve communication
- etCO2 waveform & believe it
- long-acting paralytic
- SGA
- Cric
- @drlauraduggan at #HRreloaded
![](https://pbs.twimg.com/media/EeOCRfTWsAAkAX5.png)