Moulage of the Month (Industrial Series):
'Caught In-Between'
www.emsworld.com/
article/219457
An ongoing educational guide by
Moulage Concepts' Bobbie Merica on
simulating injuries through effective
use of moulage. This month Merica
continues her series on industrial
injuries with "Caught In-Between."
WEBINARS
EMSWorld.com/webinars
Pediatric Airway Management: How to
Save Injured Kids
January 25, 1 p.m. EST
Darrell Nelson, MD, associate professor of
emergency medicine at Wake Forest Baptist
Medical Center, and James "Tripp" Winslow,
North Carolina EMS medical director, lead
emergency medical professionals through
the latest techniques for pediatric airway
management. Topics include anatomy
and physiology, approach to the child with
difficulty breathing, foreign body airway
obstruction, and airway equipment. A Q&A;
session will follow the presentation.
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ONLINE THIS MONTH @ EMSWORLD.COM
Examining the airways of trauma patients can be incredibly dif-
ficult for EMS personnel. Even in good lighting, blood and debris
caused by trauma can make it difficult to accurately view the
airway, even when using a high-quality video laryngoscope.
Keith Carter knows this from experience. Currently area man-
ager for Air Methods' Gulf Coast Central region, Carter has been
a paramedic for 25 years and a certification teacher for the last
12 years, and has actively researched better ways to treat airway
injuries for the past five. "My emphasis is airway management,"
he says.
In the second half of 2017, Carter was given a demo sample of
Adroit Surgical's Vie Scope and Voir Bougie to assess.
The Vie Scope direct laryngoscope (DL) is a simple, affordable,
and capable alternative to video laryngoscopes. It consists of a
plastic pistol-grip handle with a clear plastic trumpet-like tube
that flares out from the handle.
The clear tube is illuminated by battery-powered LEDs within
the pistol grip. They provide light through the tube's side wall and
its wide angled-cut end.
The Vie Scope's design allows the user to see directly inside the
airway without the need for a video camera. Meanwhile, the Vie
Scope's flaring tube is perfect for sliding a Voir Bougie (marked
with brightly colored bands to visually aid insertion to correct
depth) into the airway should intubation be required.
"The Vie Scope is the very first entry into the DL market that
we've seen in my career," says Carter. Until it came along, he adds,
"the only thing that hasn't changed in an ambulance in the last
25 years is direct laryngoscopy."
Having put the Vie Scope and Voir Bougie through their paces,
Carter has been very impressed with what he's seen. As promised,
the two devices allow paramedics to accurately assess airways
and execute intubation, all without the need for expensive tech-
nology or highly specific techniques such as those that dictate
which hand is to be used and the direction of treatment.
"The Vie Scope tells you you can use any hand in any direction…
you can use any method you want to," Carter says. "With the Vie
Scope's rubber housing, you can even pry on the teeth—which we
were told never to do—because you're not going to break them."
In addition to being both easy and flexible to use, "the Vie Scope
is the only device you can actively intubate with while CPR is in
progress," says Carter. "With video laryngoscopes you have to
stop CPR because you can't watch the camera image when it's
moving."
All told, Carter is extremely impressed with the Vie Scope and
Voir Bougie. "It's cost-effective. It's light. It's disposable, and it
will accomplish intubation using DL techniques when you may
not have the ability to obtain a VL scope," he says.
Visit www.adroitsurgical.com
Circle 37 on Product Information Card
DEVICES FROM ADROIT SURGICAL OFFER SAFE, FAST WAYS TO EX AMINE
AND INTUBATE AIRWAYS
SPONSORED CONTENT | PRODUC T APPLICATIONS FROM THE FIELD
8 JANUARY 2018 | EMSWORLD.com
Your Captain Speaking:
The Culture of Checklists
www.emsworld.com/
article/219458
What does a 1935 Boeing plane crash
teach us about modern-day EMS?
Capt. Dick Blanchet explains.