The Coda v COVID podcasts have been focusing on the non-technical skills we need to manage the pandemic crisis, but we have received increased requests to discuss more technical aspects of management.
Accordingly, this is the first in a three part series dealing with the process for emergency intubation in the crashing patient with the novel corona virus.
Here we discuss the technical protocols and the nomenclature around aerosol generating and airborne type precautions.
Importantly, we also discuss the recent decision by some UK and Australasian bodies to designate chest compressions as a non-aerosol generating procedure, a decision that has caused ripples of confusion with different craft groups.
This has added to confusion around PPE, again with different professional bodies providing conflicting advice for their members.
Tune in to join the conversation as we attempt to decipher the messages and give our take on what we are doing and why.
RESOURCES:
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EMCrit RACC Airway case and resources
EMCrit COVID airway/code blue information
EMCrit Mental practice for PPE
Roger Harris
Roger Harris is a senior staff specialist in the intensive care unit at the Royal North Shore hospital and the Sydney Adventist hospital (SAN). He is dual qualified in Emergency Medicine and Intensive Care. Roger is one of the co-founders of SMACC and Coda. He is passionate about education, his five children and especially his beautiful wife Georgie.
Jon Gatward
Jon is a Sydney-based Intensive Care Specialist with special interests and qualifications in medical education, simulation and debriefing. He likes to take simulation out of the Sim centre, running inter-professional scenarios in-situ in the Royal North Shore ICU. Jon is an organ donation specialist and lead trainer for the Organ and Tissue Authority Family Donation Conversation workshop. He has extensive experience with simulation training for difficult conversations. Jon is also an airway fanatic. He is the incoming President of the Safe Airway Society of Australia and New Zealand and runs the Critical Care Airway Management Course. He is also interested in patient safety and quality, and is a member of the Best Practice Working Group at Intensive Care NSW: part of the Agency for Clinical Innovation. He loves spending time with his family: Caroline, Thomas and Holly.
Jesse Spurr
For his paid work, Jesse is a critical care nurse. Much to the dismay of his ever-patient (and infinitely more successful) wife, Jesse likes to use his “spare” time doing “volunteer” work in the form of conference organising, co-producing free, open-access healthcare simulation podcast Simulcast, producing nursing practice development blog and podcast Injectable Orange, and all manner of other healthcare, research and education pseudo-academic activities. An exercise science graduate, sport and functional fitness tragic, Jesse classes himself a lifelong student of teaching, learning, health and human performance. Jesse’s proudest roles are head cheerleader for his wife, and their adult daughter, and best friend and co-navigator of life to his young son living with autism and ADHD.
Chris Hicks
Christopher Hicks is an emergency physician and trauma team leader at St. Michael’s Hospital in Toronto, and Assistant Professor and Clinician-Educator in the Department of Medicine at the University of Toronto. He is an education research scientist at the Li Ka Shing Knowledge institute, and appointee to the International Centre for Surgical Safety, with a program of research that focuses on simulation-based psychological skills training, human factors and clinical logistics. He has innovated in several areas of resuscitation and psychological skills, including mental practice, stress inoculation training and the trauma black box program. In 2018, Chris co-created and chaired resusTO, an inter-professional simulation-based resuscitation conference in Toronto with international acclaim. In 2020, he co-founded Advanced Performance Healthcare Design, consulting with hospitals and industry using simulation to inform the design of systems, spaces and teams. Chris is an avid speaker and lecturer, staunch #FOAMed supporter, occasional runner and cyclist, fledgling boxer, semi-retired pianist, and proud father of three lunatic boys.
Adam Rehak
Adam Rehak is a consultant anaesthetist at Royal North Shore Hospital and the coordinator of anaesthesia and airway training at the Sydney Clinical Skills and Simulation Centre (SCSSC). Creator of the ATTAAC airway management course, instructor on the CCAM course, and executive member of the ANZCA Airway Management Special Interest Group, Adam has been heavily involved in multidisciplinary airway management teaching for more than 10 years.
