Top Gun Airway
The Definitive Airway Management Course
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- Home
- Contact
- About Us
- EMS Continuing Education Pricing Page
- Alert Class Offerings
- Top Gun Airway
- Top Gun Airway: Maverick
- Class Calanders
- Edwards Ambulance CME
- EAVES Ambulance CME Education
- Utica Fire Dept EMS CME Education
- Core Content Schedule
- Secured Materials
- Alert EMS LLC Zoom Class Schedule
- Recent Classes
- Otsego County CME
- Madison County Rescue Association
Top Gun Airway
Top Gun Airway
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 Paramedics, Top Gun Airway. Its purpose was to teach of the lost are of airway management and oxygenation. This course teaches the Critical Care Provider and Paramedic aggressive oxygen management, airway management, taking the Human factor out of airway management to ensure that the Critical Care providers and Paramedics provide the best patient care possible in the prehospital setting.
Anatomy & Physiology
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.
Capnography
The presentation covers a review of airway anatomy and physiology, respiratory pathophysiology, the basics of metabolism, both aerobic and anerobic. The presentation covers the uses of capnography including, cardiac arrest, asthmatics, trauma, seizures and septic patients. It reviews a breakdown of the waveform, examples of different wave forms and implications of capnography on patient care treatments. It will review the waveforms and interpretation of waveforms for patient care in the prehospital settings.
Bougie is the Devil!
The airway is compromised, the airway anatomy is not predicable, the paramedic can’t find the vocal cords, and confidence is earned not given. First pass intubation success is key to patient survival. One tool that is more important than any other to increases the Paramedic’s odds of intubating the difficult airway. That tool: is the Gum Elastic Bougie. Created to be a transducer to exchange Endotracheal tubes, today it’s the Paramedic’s best friend. This session will explore three different strategies to intubate a difficult airway using the gum elastic bougie.
Vomitology the study of the soiled airway
Your patient's airway is soiled with vomitus or blood. Airway contents are preventing EMS from oxygenating the patient. Seconds are like minutes; minutes are like hours, but hypoxia will lead to brain damage and death. Airway contents will make their way into the lungs and lead to pneumonia. Traditional airway management limits EMS providers resources to decontaminate the airway. This session will review Anatomy and Physiology, tools in the soiled airway toolbox, and provide strategies for evidence-based airway management for the soiled airway.
Taking out the Human Factor
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.
Finger, Scalpel, Bougie – Surgical Airway
Anaphylaxis, Foreign Airway Body Obstruction, Laryngospasm or trauma, all are clinic indications of an obstructed airway. The aggressive paramedic always has an Airway Management plan. Can’t intubate, can’t ventilate, can’t oxygenate. The presentation explores the management strategy of the Finger, Scalpel, Bougie surgical Airway. Airway anatomy and physiology, science behind a traditional cricothyrotomy, predicting the difficult airway, checklists and the simplified finger-scalpel-bougie surgical airway are explored. The presentation includes indications, contra indications, and cricon criteria as part of the surgical airway strategy discussion.
Ketamine
Your patient is having severe respiratory distress, Asthma, COPD, Congestive heart failure, the medications aren’t working, the patient can’t breathe, and the patient is deteriorating. Few medications in the Paramedic toolbox have the negative connotations and yet the positive physiological effects that Ketamine can deliver. At different doses Ketamine will have different effects on different receptors. The session will explore strategies to use ketamine for pain management, respiratory distress, and prevent the patient from being intubated.
Rapid Sequence Intubation Medications
The one skill that has no bigger sequence on life or death of the patient needing airway management is Rapid Sequence Intubation. Rapid sequence intubation is 9 distinct steps to control a patient’s airway. Its more import to realize when not to RSI a patient then when to do it. This presentation reviews the pathophysiology of the respiratory system, exploration of the RSI mediations, and review of RSI strategies to control the human airway. The session reviews traditional RSI medications, breaks down how RSI medications work in the body, which medications and when the RSI Paramedic should administer them.
Vent & Vent Management
This presentation explores the basics of pathophysiology of the respiratory system and acid base balance. It then explores gas laws that effect vent management. The third section explores different vent management techniques that the prehospital Paramedic encounter. It also explores vent settings and how to work through vent problems in the prehospital settings.
Skills
Apneic oxygenation
Capnography
Finger, Bougie, Scalpel
Creating a checklist
Vomitology
RSI Scenarios
National Registry Paramedic Recertification (Total 5.0 hours Core)
Ventilation (2 hrs.), Capnography (1 hrs.) and Oxygenation (0.5 hr.) (EMS Research 1.0hr.s) (Evidence Based Guidelines 0.5hr)
New York State Paramedic (Total 7.0 hours Core)
Airway Management & Ventilation (6 hrs.), Pulmonary and Cardiology (1 hrs.),
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 Paramedics, Top Gun Airway. Its purpose was to teach of the lost are of airway management and oxygenation. This course teaches the Critical Care Provider and Paramedic aggressive oxygen management, airway management, taking the Human factor out of airway management to ensure that the Critical Care providers and Paramedics provide the best patient care possible in the prehospital setting.
Anatomy & Physiology
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.
Capnography
The presentation covers a review of airway anatomy and physiology, respiratory pathophysiology, the basics of metabolism, both aerobic and anerobic. The presentation covers the uses of capnography including, cardiac arrest, asthmatics, trauma, seizures and septic patients. It reviews a breakdown of the waveform, examples of different wave forms and implications of capnography on patient care treatments. It will review the waveforms and interpretation of waveforms for patient care in the prehospital settings.
Bougie is the Devil!
The airway is compromised, the airway anatomy is not predicable, the paramedic can’t find the vocal cords, and confidence is earned not given. First pass intubation success is key to patient survival. One tool that is more important than any other to increases the Paramedic’s odds of intubating the difficult airway. That tool: is the Gum Elastic Bougie. Created to be a transducer to exchange Endotracheal tubes, today it’s the Paramedic’s best friend. This session will explore three different strategies to intubate a difficult airway using the gum elastic bougie.
Vomitology the study of the soiled airway
Your patient's airway is soiled with vomitus or blood. Airway contents are preventing EMS from oxygenating the patient. Seconds are like minutes; minutes are like hours, but hypoxia will lead to brain damage and death. Airway contents will make their way into the lungs and lead to pneumonia. Traditional airway management limits EMS providers resources to decontaminate the airway. This session will review Anatomy and Physiology, tools in the soiled airway toolbox, and provide strategies for evidence-based airway management for the soiled airway.
Taking out the Human Factor
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.
Finger, Scalpel, Bougie – Surgical Airway
Anaphylaxis, Foreign Airway Body Obstruction, Laryngospasm or trauma, all are clinic indications of an obstructed airway. The aggressive paramedic always has an Airway Management plan. Can’t intubate, can’t ventilate, can’t oxygenate. The presentation explores the management strategy of the Finger, Scalpel, Bougie surgical Airway. Airway anatomy and physiology, science behind a traditional cricothyrotomy, predicting the difficult airway, checklists and the simplified finger-scalpel-bougie surgical airway are explored. The presentation includes indications, contra indications, and cricon criteria as part of the surgical airway strategy discussion.
Ketamine
Your patient is having severe respiratory distress, Asthma, COPD, Congestive heart failure, the medications aren’t working, the patient can’t breathe, and the patient is deteriorating. Few medications in the Paramedic toolbox have the negative connotations and yet the positive physiological effects that Ketamine can deliver. At different doses Ketamine will have different effects on different receptors. The session will explore strategies to use ketamine for pain management, respiratory distress, and prevent the patient from being intubated.
Rapid Sequence Intubation Medications
The one skill that has no bigger sequence on life or death of the patient needing airway management is Rapid Sequence Intubation. Rapid sequence intubation is 9 distinct steps to control a patient’s airway. Its more import to realize when not to RSI a patient then when to do it. This presentation reviews the pathophysiology of the respiratory system, exploration of the RSI mediations, and review of RSI strategies to control the human airway. The session reviews traditional RSI medications, breaks down how RSI medications work in the body, which medications and when the RSI Paramedic should administer them.
Vent & Vent Management
This presentation explores the basics of pathophysiology of the respiratory system and acid base balance. It then explores gas laws that effect vent management. The third section explores different vent management techniques that the prehospital Paramedic encounter. It also explores vent settings and how to work through vent problems in the prehospital settings.
Skills
Apneic oxygenation
Capnography
Finger, Bougie, Scalpel
Creating a checklist
Vomitology
RSI Scenarios
National Registry Paramedic Recertification (Total 5.0 hours Core)
Ventilation (2 hrs.), Capnography (1 hrs.) and Oxygenation (0.5 hr.) (EMS Research 1.0hr.s) (Evidence Based Guidelines 0.5hr)
New York State Paramedic (Total 7.0 hours Core)
Airway Management & Ventilation (6 hrs.), Pulmonary and Cardiology (1 hrs.),
Next Course Offering
Edwards Ambulance
April 25th & 26th, 2023
Time: 8-5 Each day
Total CME Time: 24 hours
Cost: $ 225.00
City of Utica Fire Department
1217 Park Ave
Utica NY 13501
May 24th & 25th, 2023
Cost $ 225.00
Otsego County EMS Training Center
September 28th & 29th,2023
EAVES Ambulance
October 17 & 18th 2023
Fly Road, East Syracuse New York
Cost $ 225.00
Madison County Rescue Association
Date and Time TBD
Cost $ 225.00
Edwards Ambulance
April 25th & 26th, 2023
Time: 8-5 Each day
Total CME Time: 24 hours
Cost: $ 225.00
City of Utica Fire Department
1217 Park Ave
Utica NY 13501
May 24th & 25th, 2023
Cost $ 225.00
Otsego County EMS Training Center
September 28th & 29th,2023
EAVES Ambulance
October 17 & 18th 2023
Fly Road, East Syracuse New York
Cost $ 225.00
Madison County Rescue Association
Date and Time TBD
Cost $ 225.00