This one’s a bit more controlled than the military helicpoter video, and more useful from an instructional point of view. Bill Hinckley shows us how to use the scalpel-bougie technique, but adds the mantra “don’t relinquish control of the trachea”, which is akin to “don’t let go of the wire” when using the seldinger technique for lines. He has the benefit of the often recommended trachea hook, and dilator, which may not be available in all ED’s, but you can really see the utility of these two simple pieces of equipment. Probably worth checking if your airway trolley has these pieces of equipment, and if not, you should consider ordering them.
What do you think of this technique? Leave us a comment.