Intubating the entrapped patient – a simulation model using Vividtrac
Dr Jim DuCanto is back again with a simulation test of an entrapped patient requiring intubation. He tests the original Vividtrac AT-100 disposable video laryngoscope.
Prehospital points to note:
-ideally with the entrapped patient you want to extricate them to perform advanced airway maneuvers
Sometimes though you cannot extricate them expeditiously as in this harrowing podcast account by Dr Karel Habig, interviewed by Dr Cliff Reid – ResusME !Podcast June 2012
- small optical or video larygnoscope devices like the AirTraq or Vividtrac may allow oral intubation to be performed in limited access and entrapped patient situations. The ETT guide channel that these devices have is an advantage in this setting as Dr DuCanto demonstrates in the simulated entrapped patient video.
- The Fastrach ILMA has also been battled tested in prehospital settings with entrapped patients, with supportive literature published out of France and UK.