Episode 38 - Cricothyrotomy Considerations with Scott Weingart
Learning Objectives
By the end of the episode you should be able to:
Understand the indications for performing cricothyrotomy
Describe the technique for performing a bougie-assisted cric
Take Home Points
There is no replacement for preparation and practice, especially when it comes to performing a cric
Bougie-assisted cric may be superior to the traditional knife-finger-tube method for non-surgeons and surgeons alike
Surgeons are the worst (kidding!)
Time Stamps
00:12 Introduction
03:28 Trauma surgeons are the worst?!
04:42 Scott’s early experience
06:46 Dennis’ early experience
08:18 The Shock Trauma experience
09:07 Evolution of the cric technique in Scott’s hands
12:34 Trauma surgeons are the worst….again?!
15:23 Do as I say not as I do
16:42 Start with a vertical extensile incision!
17:42 The psychological stress index
18:37 Don’t think, FEEL!
19:16 Things are always easier when it’s not your fault!
23:07 A before C! Crics bleed but focus on securing the airway
24:29 No trach? No problem.
25:20 Bougies here, bougies there, bougies everywhere! Standardization is key
27:16 So the cric is in, now what?
30:09 Needle cric? No thanks!
36:23 Final thoughts on crics
37:24 Outro
Resources
www.emcrit.com/cric
