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The Decision to Intubate

Published on Aug 08, 2017

The critical first step in intubating your patient is making the decision that they need to be intubated. This may seem obvious but in the real world, the correct answer is not always clear. Here we give you a quick and easy way to assess your patient to help you come to the right clinical decision.

PRESENTATION OUTLINE

Intubate

Expert Timing - making the decision to

Out of Time?

How do you know when you are
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Same Reason

All patients are not intubated for the
This is not simply about how we make a decision, or prioritizing goals like the ABC's it is about choosing the right time to implement a decision.

How do you take the many fluid clinical variables in front of you and choose the right time to do something.

Can good timing even be taught as a clinical skill?

Internalizing good clinical timing through the decision to intubate.

So where is that sweet spot? We are going to talk about timing and how to think of it a a clinical skill all its own. One that needs to be studied and practiced, as well as one that can be taught.

For this series we will focus on good timing as an essential part of airway management and the decision to intubate. Let's get started

Questions

Start by asking yourself these three

Ask Yourself:

  • Is the airway compromised?
  • Is there adequate oxygenation or ventilation?
  • What is there expected clinical course?

In Jeopardy?

Is the airway compromised or 

Compromise

Assessing your patient for Airway

Reversible Cause?

Is there a simple solution or

Oxygenation or Ventilation?

Is there a problem with

Hypoxia & Hypoventilation

Assessing your patient for
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Reversible Cause?

Is there a simple solution or

Candidate?

Are they a non-invasive ventilation

Require Intubation?

Does their expected clinical course

Expected Course

  • Sepsis
  • Stroke
  • Trauma
  • Transfers
  • Inhalation Burns
  • Imaging & Testing Required (agitation)

Deeper Cuts

At the Protected Airway Online