Tag Archives: cricothyroidotomy

Prehospital Emergency Procedures: Scalpel, Finger, Bougie. That’s all you need!

13 Lug

In Emergency Medicine “Simplicity” is synonymous of efficiency, efficacy and reproducibility.

More the time frame is stressful more we need procedures that are efficient, efficacious and standardised, in one word SIMPLE.

Critcothyrodotomy and chest drain are procedures usually performed in high stressing scenarios and more simply they are more chance of success they have.

I don’t like complicate kits. They need training of course but even a calm and protected environment, and the middle of a street or a busy ER room aren’t nothing like that. 

I don’t like blindly performed procedures but prefer trusting my own senses and sensibility when performing high invasive procedures that, mostly of the times, are a lifesaving last chance.

So this is the best way I know to perform a surgical access to the airway and to drain a highly unstable tense pneumo: using simple instruments, always present in every emergency pack, and trusting my own tactile sensitivity.


In those following videos you can see live records of the procedures. They were captured during a recent cadaver lab where I had the honour to join Jim DuCanto, Yen Chow, Carmine Della Vella and Fabrizio Tarchi in teaching airway management and clinical emergency procedures.

Hope you enjoy.




Brian Burns: Always carry your scalpel!

26 Ott
From SMACC 2013 Dr. Brian Burns (Greater Sydney Area HEMS) presents why a scalpel is an imprtant item in your emergency bag. Never miss it!
A don’t miss talk/slides for every prehospital emergency physician. The last part of the talk regards the trauma arrest algorithm: how to treat arrested trauma patient in the field.
I think every prehospital professional as to be aware about new prospective on trauma treatment. Enanching survival in trauma is one of the missions of prehospital emergency service.
So enjoy Dr Burns slides and audio on “Always carry your scalpel”

Un bisturi può essere un importante aiuto in molte situazioni difficili. Non ci credete?  Ascoltate Brian Burns (Greater Sydney Area HEMS) che illustra molti utili “usi” del bisturi in medicina d’emergenza preospedaliera.

Click HERE for the audio

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