ACE the ACEM May 2020 webinar introduction – physiologically difficult airways – the HHAARRMMS mnemonic.

Airway assessment and management

We started the new webinar series in prep for May 2020 with some key structured thoughts on airway

The anatomically difficult airway
Think 💭:
MOAN – bvm ppv possible?
RODS – LMA / extraglottic device possible ?
LEMON- Laryngoscopy possible?
SMART – Cricothyroidotomy possible ?

The PHYSIOLOGICALLY DIFFICULT AIRWAY
think 🤔:
HHARRMMS
hypoxia
Hypotension
Acidosis/ alkalosis
Ricp
Resp state
Medical conditions
Medications
Sepsis

HOW WOULD YOU IPTOMISE YOUR RSI IF THE ABOVE WERE PRESENT ?

Have your devices ready to roll:
Standard : BVM BOUGIE CMAC ETT LMA

VIDEOLARYNGOSCOPY OPTIONS
INTUBATING LMA / stylet
Fiber optic intubator

Know the following algorithms:

CRASH AIRWAY
FAILED INTUBATION
FAILED AIRWAY
DIFFICULT AIRWAY
‘AWAKE’ oral intubation