Quote:
Originally posted by Doc T
I typically make a longitudinal incision, not transverse as there are anterior jugular veins that tend to get cut in a transverse incision and bleeding just makes the airway more difficult. It usually takes more than two passes of the scapel as the people winding up with surgical airways rarely have long skinny necks. Four or five passes is more typical. And I have never seen anyone use a needle cric except in a child...it is a terrible airway.
doc t.
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Thank you very much Ma'am- Also thanks to SwatSurgeon for both of your comments.
Let me refocus this a little since it seems it has taken a civilan EMS slant. This is for a review for SF medics and early basci education for the potentials. The likelyhood of them facing oral maxillo-facial trauma and/or severe burns is a distinct possibility. That is why this thread was started. I think everyone will stipulate that
ALL medical personnel should get as much personal experience in standard ETT placement as they can. The more the better- I agree completely with Rogerabn. It isn't only EMT's that place bad placed airways, I have seen MD's, RNA's, and RN's do it too- oh yeah, DMD's too
. LOL
Back on point, based on the incision technique recommendations of our resident trauma surgeons, I will post a pic of the anterior triangle of the neck for all viewing this thread that don't have familiarity of the anatomy. Thanks again Doc t and SS.