Now there are great tutorials on the web on how to construct a SALAD simulator from a Lifeform airway manikin (and Lifeform even sells the SALAD simulator as a new product), those of us with Laerdal airway manikins have to improvise. Attendees rave about it.īut while video laryngoscopes are no longer cost prohibitive and Ducanto catheters don’t cost appreciably more than their competitors, the challenge is that you really need a dedicated manikin to practice and teach the technique. A Google search will yield a plethora of useful articles and YouTube videos on the technique, but you really need to take the man’s class in person. Ducanto teaches us how to manage even the most copious secretions and secure an airway with confidence under what would otherwise be impossible conditions. Using video laryngoscopy and the suction catheter that bears his name, Dr. If you’ve been living under a rock and have never heard the term, SALAD stands for suction-assisted laryngoscopic airway decontamination, a technique pioneered and popularized by airway guru James Ducanto, M.D. Ducanto’s video laryngoscopy training technique I could squeeze the stomach and make a little simulated vomit ooze slowly up into the oropharynx, but it was nothing like the “massive gastric distension, vomit coming out of the nose, holy crap did this guy eat panel 3 of the Sonic menu?” kind of vomit volcano you sometimes see in the field. My only issue was, I couldn’t make the manikin vomit enough. I’ll use the laryngospasm simulator on the airway manikin, or have that respiratory arrest patient present with a foreign body airway obstruction. I’ll frequently try such tricks as students approach skill mastery, when teachable moments become fewer and farther between. I believe that the burned hand teaches best, and failing a skills station because you knew better but took a shortcut anyway is an excellent way to drive that lesson home without killing a patient. and that’s the day they find their patient copiously vomiting, and the battery disconnected on their suction unit. Visit the EMS1 Academy to learn more and schedule a demo.Īn evil trick I often play on my advanced EMS students is to wait for them to get complacent on their airway skills practice, when they’ve performed the skill enough times that they are prone to just pay lip service to checking their equipment. This course provides examples of the common signs and symptoms a patient with inadequate breathing may present with in an emergency situation. The EMS1 Academy features “Respiratory Emergencies,” a 30-minute accredited course for EMTs.
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