I keep trying to remember (but paranoid I might forget) to talk directly to patient (same as when they might be awake), when they present with what seems to be GCS 3 especially when I am stressed/distracted by them being critically ill or injured

Airway Workshop 2026 with EM residents

Airway teaching stuff

Universal VL

Lighten up Vader! Keep your laryngoscope hold fingertip light, low with inward elbow patreon.com/posts/53118288

Occasional intubators also sadly intubate the oesophagus too often - I recently reviewed a paper describing occasional intubators in a high resource setting, with a >10% oesophageal intubation rate (many unrecognised).

I’ll gently push back VL is an intrinsically better technique It improves laryngeal view, first pass success, reduces failure, force, trauma and complications (26,000 patients in Cochrane r/v with another 20,000 waiting to be added) In Prekker’s DEVICE study this nice supplementary graph showed how VL benefited every intubator except those with lots of experience with DL but little or no VL experience (who one might characterise as “laggards” in terms of adoption) nejm.org/doi/suppl/10.1056/N… That said - clinicians should not be undertaking high risk procedures (intubation fails dangerously) without appropriate training…..which brings us back to “the educationally difficult intubation”* Yes I’m resisting talking about tools with tools 😊

Anaesthetise Paralyse Put the head and neck in the sniffing position (flextension) Get a good view (middle of the middle) Slide a suitably small tube (6.0-6.5 mm ID for adults) along the blade into the trachea And along the trachea (which is correctly aligned by flextension) It’s not too tricky

Difficult Face Mask Ventilation! An excellent presentation by Dr Solomon White (WSOA) @WAMM2025 #WAMM2025 #DAS #DASRegistry

Kevin Fong as always, delivered a wonderful talk on AI. It always fascinates me the huge carbon footprint of a medium we just think comes out of our computers. Complex systems require people focussed solutions. #WAMM2025

@Admckdoc discussing the airway management in patients living with obesity: best practice recommendations from the Society for Obesity and Bariatric Anaesthesia associationofanaesthetists-p… #WAMM2025

7 key recommendations from SOBA - detailed airway Mx - preO2 in ramped, >30 degrees head up position (pref in theatre) - consider HFNO - Intubation in theatre on table - VL 1st line - prior to extubation, preoxygenation & adequate reversal of NMB - suitable equipment #WAMM2025