Top Gun Maverick Airway Management Designed for the BLS & AEMT provider
Introduction
In 1969, The US Navy created Top gun to teach the lost art of ariel combat. In March of 2017 Alert EMS LLC established an elite school for the top one percent of all EMT’s & AEMT’s, Top Gun Airway: Maverick. Its purpose was to teach of the lost are of airway management and oxygenation. Topics covered will include Introduction, Anatomy & Physiology, Apneic Oxygenation, CPAP, Capnography, Taking out the Human Factor and designing EMS checklist, and vomitology. This course teaches the EMT’s & AEMT’s aggressive BLS oxygen management, airway management, taking the Human factor out of airway management to ensure that the EMT and & EMT can provide the best BLS airway management care possible in the prehospital setting.
BLS Airway Anatomy, Physiology & Pathophysiology of the Respiratory System
Knowledge is power. Nothing could be truer than knowledge of the Respiratory system, gas laws and how they work. This session reviews the basics of the respiratory system. Reviews the pathophysiology of the respiratory system. Reviews, anatomy & physiology, the upper airway, the lower airway, the lungs, alveoli, and surfactant. The session reviews basic gas laws and how the respiratory system works. The session compares and contrasts the difference between respirations and ventilations. The session reviews metabolism and compares and contrasts aerobic vs anaerobiotic metabolism.
Apneic Oxygenation
Oxygen is critical to life. Seconds can quickly become minutes, minutes lead to brain death. The BVM has been the EMS gold standard for the past 50 years. Is it the method to oxygenate the apneic patient? The Pathophysiology of life says we need oxygen. The presentation looks at the new concept of apneic oxygenation and ensuring the apneic patient is getting oxygen even when the EMT is not ventilating a patient.
Continuous positive airway pressure CPAP
The EMT arrives on scene of a patient in severe respiratory distress, gasping for airway, with a history of asthma and you can’t get an oxygen saturation. Few inventions have changed the course of care for this patient as Continuous positive airway pressure CPAP). Positive End Expiratory Pressure (PEEP) is the EMT’s friend. This session looks a history of CPAP, why it works, the indications, contraindications, and the skill of CPAP. The Session will provide strategies for EMT and AEMT to use CPAP in the prehospital setting.
Capnography
Capnography is the only true continuous diagnostic device available for EMS provider to provide definitive care. The presentation educates the EMT & AEMT of respiratory pathophysiology, the basics of metabolism, both aerobic and anerobic and the importance of understanding what CO2 is. The presentation covers the uses of capnography including, cardiac arrest, asthmatics, trauma, seizures, and septic patients. The session explains waveforms, examples of different wave forms and implications of capnography on patient care treatments.
Airway Management – Combitubes, Kings, I-Gels oh Doctor put a star on that one!
Some argue that intubation is a lost art skill in EMS. EMT’s and AEMT’s can provide definitive airway management in the seconds following cardiac arrest by the insertion of a supraglottic device. The role of combitubes, king airways, I-Gels have long been debated as a backup airway device. Do they have a role in the prehospital setting? Which is better the aggressive BLS airways or supraglottic devices? The session explores strategies for uses, indications, contraindications for these devices.
Taking out the Human Factor out of Airway Management
Taking out the Human Factor is an evidence-based presentation about creating checklists to prevent errors. checklists are not recipes for the novice, but they ensure that EMS care is done by experts. The discussion will include a history of checklists, why errors happen, comparing and contrasting ignorance vs ineptitude, comparing read-do vs do-confirm to checklists. The presentation will discuss strategies for designing checklists, evidence based for fonts, break points, validation, and implementation of checklists. A checklists is a living documents to make EMS safer, prevent errors, create better patient care.
Vomitology: The study of clearing the soiled airway
Your patient's airway is soiled with vomitus or blood. Airway contents are preventing EMS from oxygenating the patient. Hypoxia will lead to brain damage and death. Airway contents are making their way into the lungs and lead to aspiration pneumonia. Traditional airway management limits EMS providers resources to decontaminate the airway. No skill is more important to the EMT & AEMT then aggressive clearing of a soiled airway full of blood or vomitus. This session reviews Anatomy and Physiology, tools to clear the soiled airway, and strategies for evidence-based airway management for the soiled airway.
Skills Session – Putting it all together
The skill session will the skills of apneic oxygenation, vomitology, creating a checklist and the skill of reading capnography. The session will finish with and Airway Management megacode run by the EMT’s & AEMTs that this course is designed for.