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Tom Dolphin🏳️‍🌈 🏳️‍⚧️ Nicholas Chrimes 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 Fiona Difficult Airway Society (DAS) The KEY point here is that the evidence review is not stating “clinical examination is of no value” What it DOES say is “clinical examination is of no value in excluding oesophageal intubation” Further, clinical examination can lead one down a path of misdirection that ends in

Michael I think if you check the messaging from the authors of the systematic review, it is very clear & very consistent “Clinical signs don’t usefully exclude oesophageal intubation. Capnography (sustained exhaled CO2) does.” That’s it That’s the message Nicholas Chrimes

3 Days to Go! Capnography: Essential Everywhere. Join the discussion with Tim Cook Ellen O’Sullivan @ProEllenO.bsky.social Jan Hansel Nicholas Chrimes Sun 10th Dec 21:00 GMT Mon 11th Dec 08:00 AEDT Register for reminder email, livestream link & attendance certificate safeairwaysociety.org/eventdetails/2…

2 days until our free, interactive panel discussion on capnography & preventing unrecognised oesophageal intubation. Register to receive a reminder email with the livestream link & an attendance certificate. safeairwaysociety.org/eventdetails/2…

If you take issue with this statement, raise your concerns directly with Tim Cook Jan Hansel & Ellen O’Sullivan @ProEllenO.bsky.social during this interactive livestream discussion on the essential nature of capnography.

JustaKiwi Tim Cook Jan Hansel Ellen O’Sullivan @ProEllenO.bsky.social No the exact problem is that that combination of things CAN'T be used to exclude oesophageal intubation. If you see it go in, have good SpO2, chest rise & breath sounds but inadeq CO2, oesophageal intubation still needs to be excluded. The other reassuring signs are irrelevant.

Al May JustaKiwi Tim Cook Jan Hansel Ellen O’Sullivan @ProEllenO.bsky.social Yes, other signs can still be used to help IDENTIFY oesophageal intubation & raise clinical suspicion but if the criteria for 'sustained exhaled CO2' aren't met, other clinical signs can't be used to reassure you that the tube is correctly placed. Only 'valid alternative techs'.

Tomorrow's the day! Log into YouTube & get ready with your questions for the panel on capnography, oesophageal intubation & use of clinical signs to evaluate tube position. Sun: 21:00 GMT Mon: 8AM AEDT, 10AM NZDT safeairwaysociety.org/eventdetails/2…

Only 1 hour to go till the livestream begins. Click the link below, log into YouTube and submit your questions & comments to the panel live. youtube.com/live/E9KCjWMMR…

15 mins until Tim Cook Ellen O’Sullivan @ProEllenO.bsky.social & Jan Hansel join Nicholas Chrimes & Kirstin Fraser to discuss why capnography is essential everywhere & how to use it effectively to exclude oesophageal intubation. Click the link to be part of it: youtube.com/live/E9KCjWMMR…

Comment in Airwaves meeting about whether CUSS or PACE is better Graded assertiveness & hierarchy flattening I don’t mind Pick one Use one CUSS I am Concerned I an Unhappy Safety issue You must Stop PACE Probe Alert Concern Emergency Nicholas Chrimes bob funnekotter

Tim Cook Al May Nose Coloured Glasses - Stavros Prineas Airwaves Nicholas Chrimes bob funnekotter Sorry to miss you all- agree with Tim Cook that either works well Our human factors guidelines group recommended CUSS for 2 reasons… - easier to remember - allows for team leaders to ‘listen down’ and realise that they are “being CUSS‘ed”!!! …-publications.onlinelibrary.wiley.com/doi/abs/10.111…

Tim Cook Al May Nose Coloured Glasses - Stavros Prineas Airwaves Nicholas Chrimes bob funnekotter Use of the specific phrases by all team members known as ‘systematic communication’ CUSS encourages this 👆 Probe is a useful tool but doesn’t have the advantage of including specific phrases and words

The 2024 Safe Airway Society #AirwayWorkshopRoadshow is now on sale. Stations: 1. Neck Rescue (ANZCA CICO sign off) 2. Trache/Laryngectomy emergencies 3. Advanced SGAs (incl SGA2ETT conversion & ATI via SGA) 4. Choice of either HAVL or ATI-FB Register now at safeairwaysociety.org/events/

2nd stop Melbourne Sat 3rd Aug Choice of AM (08:00-13:00) or PM (13:30-18:30) sessions. at Peter Mac

3rd stop Auckland Sat 31st Aug 08:00-13:00

Final stop Perth Sat 14th Sep 08:00 - 13:00 at Fiona Stanley Hospital

1st stop in our 2024 #AirwayWorkshopRoadshow is the Adelaide Sim Centre, Sat Jun 15th 4 stations: Trache/Laryngectomy emergencies Advanced SGAs: incl ATI via SGA & SGA2ETT conversion Neck Rescue: ANZCA CICO sign off Choice of HAVL or ATI w FB Reg: safeairwaysociety.org/eventdetails/2…

Still some places available for the afternoon session of next weekend's Melbourne #AirwayWorkshopRoadshow (morning session sold out). Sat 3rd August 13:30 - 18:30 Register here: safeairwaysociety.org/_events.regist…