Emergency cricothyroidotomy over the phone – a case study
Ever had to talk someone through doing a surgical airway over the phone? No?
How would you do it? This is probably the single best test of your ability and knowledge of this life saving technique. Well, read this coroners report from Western Australia, in which a young woman suffered an anaphylaxis from nut allergy and presented in life threatening condition to a remote nurse.
This nurse had to perform a surgical airway , with a doctor on the end of the phone, instructing her. Read how things went and the outcome. You might even read about a young Dr Casey Parker in the report ( he was not the doctor on the end of the phone though…intrigued?). THERE IS EVEN ATTEMPTED USE OF A BALLPOINT PEN..if you read carefully the report…what foresight, Andy!?
Here is the coroners report
Think about it. Would you be ready if put to the same situation? A call from a remote nurse with a patient in a life threatening anaphylaxis and impending complete upper airway obstruction despite adrenaline.
From death we learn.