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Breathing is the KEY - Education is the ANSWER! |
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The definitive resource and best value on emergency airway management
for all practice locations:
*Prehospital,
*Clinic,
*Office,
*Anesthesia,
*Emergency Department,
*ICU!
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Recent review by Dr. Ramsay published in PUBMED
Author's Overview of SLAM - Street Level Airway Management: Breathing is the Key -
Education is the Answer! This book offers current information on emergency and difficult airway management from the "Street
Level" through all areas of the hospital!
My goal in writing SLAM: Street Level Airway Management was to
create a cutting edge, evidence-based book on emergency and difficult airway management. I wanted to produce a book that offers
solutions to emergency and difficult airway situations for those practicing from the "street level" through all
areas of the hospital, which is what the SLAM Airway Course has done for nearly a decade. I have practiced nurse anesthesia
for nearly 30 years, which has allowed me to teach emergency and difficult airway management to many different types of providers.
This has resulted in me collaborating with a seasoned group of 24 international airway experts, educators, researchers, inventors
and practitioners from all areas of clinical practice to write this practical text. My hope is that this book will become
an indispensable benefit to any practitioner who needs to provide safe and effective airway management, regardless of the
professional discipline in which he of she is practicing. At about a penny a page it is a real bargain.
SLAM:
Street Level Airway Management is based upon my emergency and difficult airway flowchart and my SLAM Emergency Airway Provider
Course. Using the SLAM Concept and the SLAM Universal Adult Airway Flowchart as a starting point, it focuses on the fundamental
aspects of anatomy, patient condition and clinical considerations promoting both patient safety and clinical competency. The
book brings together information that has been taught for years at the SLAM courses and presented at the slamairway.com website.
Excellent figures (photos, detailed drawings and line drawings) as well as clearly presented tables simplify and reinforce
the learning of difficult topics.
SLAM: Street Level Airway Management offers a practical approach for prehospital
practitioners (paramedics & flight nurses) as well as hospital based providers such as respiratory care practitioners,
CRNAs, residents and physicians practicing airway management. It instructs practitioners on a number of levels on how to:
a) form a plan of care; b) assess and evaluate the airway; c) effectively oxygenate and ventilate critically ill patients;
d) increase success in passing the tracheal tube on the first attempt; e) rescue failed intubation and effectively perform
rescue ventilation; f) utilize AHA approved methods to confirm tracheal intubation and monitor lung ventilation; g) deal with
special airway situations seen during trauma, burn and inhalation injuries, c-spine injury, pregnancy and pediatrics; and
h) effectively apply advanced intubation techniques. Chapters include: 1) SLAM Universal Adult Airway Flowchart; 2) Airway
Anatomy and Assessment; 3) Oxygenation and Ventilation in Adults; 4) Direct Laryngoscopy and Tracheal Intubation; 5) Confirmation
of Tracheal Intubation and Monitoring of Lung Ventilation; 6) Pharmacology of Airway Management; 7) Rapid Sequence Induction
and Intubation in Adults; 8) Rescue ventilation; 9) Advanced Techniques for Difficult Intubation; 10) Fiberscopic and Video-Assisted
Intubation; 11) Lightwand Intubation; 12) Cricothyrotomy; 13) The Traumatized Airway; 14) The Cervical-Spine-Injured Patient;
15) Burns and Inhalation Injuries; 16) The Pediatric Airway; 17) Sedation/Analgesia for Postintubation Management; 18) Legal
Implications of Emergency Airway Management; and 19) Nosocomial Risks of Airway Management.
Besides showing effective
ways to deal with difficult ventilation and rescue failed intubation, the book also introduces and reinforces some cutting-edge
topics, such as: 1) Mason's PU-92 concept; 2) Recognition & Management of Critical Airway Events; 3) 6-D Method of
Difficult Airway Assessment; 4) Bougie-Assisted Intubation; 5) Use of CPAP, BiPAP and proper use of supgraglottic airway devices;
6) Rescue Ventilation; 7) Simple Rescue Intubation techniques; 8) AHA and ILCOR Guidelines 2005 recommendations; and 9) The
SLAM Universal Adult Airway Flowchart: the flowchart's 5 pathways can be easily followed using the full-color 11"
X 17" high resolution copy of the flowchart that is included as a foldout of the inside front cover. Everyone from EMTs
and paramedics through healthcare educators in prehospital care, pulmonary medicine, intensive care, respiratory care, anesthesiology
and emergency medicine should find this book valuable for learning, teaching and practicing emergency and difficult airway
management, from the prehospital "street level" through all areas of the hospital.
SLAM: Street Level
Airway Management's contribution to the field of airway management is based upon its overarching message: "Patient's
Die or Suffer Debilitating Brain Injury from Failure to Ventilate and Failure to Oxygenate - Not From Failure to Intubate".
Therefore, Learn SLAM: Street Level Airway Management, Because If Your Patient Can't Breathe - Nothing Else Matters!!!
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SLAM - Street Level Airway Management
by
James Michael Rich, CRNA Pearson Prentice Hall – Upper Saddle River, New Jersey 07458 Book Chapters, Reviewers and Contriubtors. Chapters
Introduction: The SLAM Concept Chapter
1 SLAM Universal Emergency Airway Flowchart 1 Chapter 2 Airway Anatomy and
Assessment 19 Chapter 3 Oxygenation and Ventilation in Adults 37 Chapter 4 Direct Laryngoscopy and Tracheal Intubation 77 Chapter 5 Confirmation of Tracheal Intubation and Monitoring of
Lung Ventilation 111 Chapter 6 Pharmacology of Airway Management 127 Chapter 7 Rapid Sequence Induction and Intubation in Adults 137 Chapter 8 Rescue Ventilation 147 Chapter 9 Advanced Techniques
for Difficult Intubation 173 Chapter 10 Fiberscopic and Video-Assisted Intubation
189 Chapter 11 Lightwand Intubation 205 Chapter
12 Cricothyrotomy 213 Chapter 13 The Traumatized Airway 237 Chapter 14 The Cervical-Spine-Injured Patient 247 Chapter
15 Burns and Inhalation Injuries 259 Chapter 16 The Pediatric Airway 267 Chapter 17 Sedation/Analgesia for Postintubation Management
287 Chapter 18 Legal Implications of Emergency Airway Management 293 Chapter 19 Nosocomial Risks of Airway Management 307 Answers
to Review Questions 313 References 321 Glossary
362
Reviewers xiii
Bryan
E. Bledsoe, DO, FA, CEP, EMT-P
Emergency Physician
Midlothian, Texas
and
Adjunct Associate Professor
of Emergency Medicine
The George Washington University Medical Center
Washington, DC Timothy
P. Duncan, RN, CCRN, CEN, CFRN, EMTP
Flight Nurse/St. Vincent Mercy Medical Center Life Flight
Toledo,
OH Randal Gray, MA Ed, NREMT-P
Director, Office of EMS
University of Alabama
at Birmingham Russell Griffin, NR/CC-P
EMS Captain
McKinney Fire/EMS
McKinney, Texas Sean
Kivlehan, EMT-P
EMS Coordinator/Instructor
Mount Pleasant Fire Dept.
Racine, WI Joseph
J. Mistovich, M.Ed, NREMT-P
Chair and Professor
Department of health Professions
Youngstown State University
Youngstown, Ohio Brian Petrone PA-C,
EMT-P
Burlington, Massachusetts
Susie Vigh, BSRRT, NREMT-P, EMSI
EMT Program
instructor
Polaris Career Center
Middleburg Hts, OH Matthew Zavarella, RN, NREMT-P, MS, SRNA, CFRN, CCRN,
CEN
Flight Nurse State MedEvac
Pittsburgh, PA
Brett D. Arnoldo,
MD
Assistant Professor, Surgery
University of Texas Southwestern Medical School
Dallas, TX George
Beck, MD
Anesthesiologist
Lubbock, TX Tareg Bey, MD, FACEP, ABMT, DEAA
Clinical
Professor of Emergency Medicine
Director, International Emergency Medicine
Department of Emergency Medicine
University
of California, Irvine
UCI Medical Center
Orange, CA Janice A. Follmer, CRNA
Summit Anesthesia
Summit Medical Center
Frisco, CO Michael Frakes, RN, APRN, CCNS, CFRN
Senior Flight Nurse
Clinical Practice and Research Coordinator
Life Star/Hartford Hospital
Hartford, CT Michael
Frass, MD
Professor of Medicine, Intensive Care Unit
Department of internal Medicine I
Medical University
of Vienna
Vienna, Austria William E. Gandy, JD, LP
EMS Educator and Consultant
Tucson, AZ Dr. Med. Harald V. Genzwuerker
Clinic of Anaesthesiology and Intensive Care Medicine
University Hospital Mannheim
Manheim, Germany Abid
U. Ghafoor, MD
Assistant Professor Anesthesiology
University of Arkansas for Medical Sciences
Staff
Anesthesiologist
Arkansas Children’s Hospital
Little Rock AR Carson Harrod, PhD
Senior Research Associate for Scientific Communication
Baylor Research Institute
Dallas, TX
Founder &
Senior Editor
Scientific & Professional Editors
Murphy, TX John L. Hunt, MD
C—Director, Burn unit, Parkland Memorial Hospital
Professor, Department of Surgery
UT Southwestern Medical
Center
Dallas, TX Peter Krafft, MD
Professor, Department of Anesthesiology and General
Intensive Care
Medical University of Vienna
Vienna,
Austria Timothy
W. Martin, MD, MBA
Professor of Anesthesiology
Vice Chair for Education and Administration
Department
of Anesthesiology
UAMS College of Medicine
Chief, Division of pediatric Anesthesiology
Arkansas Children’s
Hospital
Little Rock, AR Andrew M. Mason, MB BS MRCS LRCP
Immediate Care Physician
Suffolk Accident Rescue Service
Ipswich, UK Alexandre F. Migala, DO
Emergency Medicine
Physician
Dallas, TX W. Patrick Monaghan, CLS, SBB, PhD
Professor, College of
Medicine
Anesthesiology Department
University of Florida, Shands,
Jacksonville, FL Dave
Nigel Nanan, MD
Anesthesiologist
Pembroke Pines, FL Edgar J. Pierre, MD
Asst. professor of Anesthesiology, Surgery and Critical
Care
University of Miami Ryder Trauma Center
Miami, FL Gary Purdue, MD
Co-Director, Burn Unit,
Parkland Memorial Hospital
Professor, Department of Surgery
UT Southwestern Medical Center
Dallas, TX Michael
A.E. Ramsay, MD, FRCA
Chief of Service
Department of Anesthesiology and Pain Management
Baylor University Medical Center
Dallas, TX
James Michael Rich,
CRNA, MA
Nurses Anesthetist – Northstar Anesthesia,
PA
Department of Anesthesiology and Pain Management
Baylor University Medical Center
Dallas, TX Executive Director
The SLAM Airway Training institute &
The SLAM Society
3526 Lakeview Parkway, Suite B238
Rowlett, TX 75088
JRofDallas@gmail.com Micha
Y. Shamir, MD
Attending Anesthesiologist
Head, Resuscitation School and Service
Department of Anesthesiology
and Critical Care Medicine
Hadassah – Hebrew University Medical Center
Hebrew University Medical School
Jerusalem, Israel Charles E. Smith, MD, FRCPC
Professor of Anesthesia
Director, Cardiothoracic
Anesthesia
MetroHealth Medical Center
Case
Western Reserve University School of Medicine
Cleveland, OH Darko Vodopich, MD
Department of Anesthesia
Kaiser Permanente
Walnut Creek Medical Center
Walnut Creek CA References
321 Glossary
362 Index
371
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