The Vortex Approach
@VortexApproach
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Implementation tool for airway Mx by @NicholasChrimes & @pzfritz. Addresses human factors considerations to facilitate real time use by teams during a crisis.
Australia
Joined September 2014
This account now being managed from Bluesky via @chrimesy.com
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The Vortex with @NicholasChrimes. I thought the Vortex was a bit much going into this. But every element has been relentlessly considered, and makes an incredible amount of sense. I think I'm a believer? #medtwitter #FOAMcc #FOAMed #Airways
https://t.co/nhUnHc58Ob
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Save the date for #SAS2025, our annual airway education event, at the Sofitel Resort in Noosa Heads, Queensland next year. Workshops Fri 12th Sep PM All day interactive plenaries Sat 13th Sep All faculty LIVE. No virtuals allowed 🚫 Details in the New Year. Grade 1 view...
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Coroner: "The PUMA guidance (on unrecognised oesophageal intubation) deserves the widest possible endorsement and dissemination which has not happened yet". Sadly, yet another death: correct placement believed to have been witnessed by 2 doctors, CO2 return on initial breaths.
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Full 'Prevention of Future Deaths' report here: https://t.co/wmtW4K40va
@UniversalAirway consensus guidelines for preventing unrecognised oesophageal intubation free to download in @Anaes_Journal
https://t.co/D0tQSNZE3m
associationofanaesthetists-publications.onlinelibrary.wiley.com
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events...
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Last chance to register for #SAS2024 the Safe Airway Society's Annual Educational Event, next Saturday 26th October at Royal North Shore Hospital in Sydney. Only a few places still available. Don't miss out! More information & registrations: https://t.co/FpJxWLHquJ
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The 'Threatened Airway Challenges' Plenary at #SAS2024 will be a case-based interactive audience discussion exploring airway management issues arising across all stages of the patient journey from prehospital to discharge. More info & registration: https://t.co/FpJxWLHquJ
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Register your interest today! It will be an amazing experience! #wamm2025
@dasairway @SAMHQglobal @EAMSAirway @CarinHagberg @MatteoParotto @APSForg @VortexApproach @SheilaMyatra @KristopherSchr6 @jducanto @jarrodmosier @basemcc
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📢 Nominations are open for the first Adrian Pearce award. Please forward your nominations to secretary@das.uk.com by 1st November 2024. The award will be announced at DAS ASM @DAS_2024
#DAS2024
@ravibhagrath @altgm @dr_imranahmad @doctimcook @ProfEllenO @dastrainees
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Still time to register for #SAS2024 in Sydney on Oct 26th. Great line up of line & virtual panelists for morning plenaries. Hands-on workshops in the afternoon. More info & registration here: https://t.co/FpJxWLHquJ
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Choice of 2 airway workshops is included with registration for #SAS2024. Wide range of workshops available including simulation sessions. More information & registration: https://t.co/FpJxWLHquJ
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Airway Management principles for trainee nurse anaesthetists. Airway course at Amstel Academy Amsterdam. Airway assessment with airway triage method, airway learning with @Simpact airway videos as always. #airwaymanagement #airwaytriage #crm
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Final spaces for #SAS2024 are filling up fast! Don't miss out. Morning interactive plenaries. Afternoon workshops. Expert faculty. Discounted registration for members. Membership included for non-members. Register: https://t.co/FpJxWLHquJ
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Join us at the iconic Firenze Fiera for #WAMM2025 in the heart of #Florence! Discover the world-class venue, known for hosting major international conferences each year, especially in medical-scientific and IT sectors! 🧬🩺 Register Your Interest: https://t.co/2uGB6zJuhP
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Exactly. The purpose of airway evaluation is not to ‘predict difficult intubation’ but to identify ‘at risk’ airway management.
Difficult is a retrospective description of perception of events, not a meaningful classification to assist preparation 7/
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Really looking forward to the Safe Airway Society annual event on Saturday 26th October 2024 - Royal North Shore Hospital Sydney. Secure your place now before we sell out. Suitable for all airway operators and assistants. Find out more and register at: https://t.co/O3ApG3SltK
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Don't miss our annual live educational event. Interactive panel discussions in the morning, hands-on workshops in the afternoon - all included in the registration price. Registration & more information: https://t.co/FpJxWLHquJ
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Agree that we don’t have the tools to ‘predict difficult airways’. Instead we should be trying to identify ‘at risk’ airway management, then escalating precautions as appropriate - accepting that these escalations will often prove to have been unnecessary.
We should move away from prediction of difficult airways. There is > 70 years of proof that it does not reduce complications as the current prediction is as good as the weather forecast 14 days ahead. It makes more sense to assess the airway and do an accurate risk
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As stated in the guideline, sustained exhaled CO2 excludes oesophageal intubation, it does not confirm tracheal intubation. Sustained exhaled CO2 is present in this case bc alveolar ventilation is still occurring (as authors describe). The system works. https://t.co/D0tQSNZE3m
Attention #airwaytwitter! This patient met the PUMA criteria for sustained exhaled carbon dioxide BUT the ETT tip was in the anterior neck. Your thoughts? @NicholasChrimes @hypoxicchicken @doctimcook @ProfEllenO @SheilaMyatra 🔗 https://t.co/gvdFZhlXcI
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