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The SLAM Universal
Emergency Airway Flowchart - A 21st Century Guide for Airway Practitioners
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Winner of the NYSSA
2003 Best Exhibit for Clinical Application 
| James M. Rich, CRNA, MA accepts the 2003 Best Exhibit
for Clinical Application award from Andrew Rosenberg, M.D. of the New York State Society of Anesthesiologists (NYSSA) at the
NYSSA's 57th Postgraduate Assembly of Anesthesiologist in New York City on December 15, 2003. |
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Enter content here Combitube,
Self-Inflating Bulb, and Colorimetric Carbon Dioxide Detector to Advance Airway Management in the First Echelon of
the Battlefield, The Military Medicine, May
2006 by Rich, James M, Thierbach,
Andreas, Frass, Michael Combat lifesavers and Army medics are regular combat soldiers who possess skills that
enable them to provide lifesaving assistance to combat casualties. Although their training is not equal to that of paramedics,
combat lifesavers and Army medics are trained to assess casualties for airway obstruction, as well as the presence or absence
of spontaneous ventilation. They are also familiar with the same basic airway maneuvers that are required for blind insertion
of the esophageal-tracheal double-lumen airway (ETDLA). Use of the ETDLA in combination with an esophageal detector device
and a colorimetric carbon dioxide detector would require skill similar to that which they already possess in performing many
mission-essential and combat lifesaver tasks. Because the U.S. Army has introduced the ETDLA for use, it is important that providers at all echelons understand the
dynamics of the ETDLA. Inclusion of the ETDLA, esophageal detector device, and colorimetric carbon dioxide detector in combination
with the bag-valve ventilation device could provide a viable alternative to mouth-to-mouth rescue breathing with the oral
airway, as currently used by combat lifesavers on the battlefield. Improved airway management, in conjunction with other lifesaving
measures, could potentially improve survival rates for combat casualties and assist in stabilizing them for evacuation to
higher echelons of combat medical care.
Combitube, Self-Inflating Bulb, and Colorimetric Carbon Dioxide
Detector to Advance Airway Management in the First Echelon of the Battlefield, The Military Medicine, May 2006 by Rich, James
M, Thierbach, Andreas, Frass, Michael
Peer-Reviewed Literature: Airway Management Articles |  Click here to view | Rich J. Recognition and management of the difficult airway with special emphasis on the intubating
LMA-Fastrach whistle technique: a brief review with case reports. BUMC Proceedings 2005:18;220-227. Copyright
BUMC Proceedings - posted with permission. |
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Rich JM, Mason AM, Ramsay MAE, Beeson J, Hancock R. SLAM Emergency Airway Flowchart:
Preventing Accidents Associated with Emergency Airway Management. Abstract and poster session presented at State of the Science Meeting at AANA Convention in Boston,
MA, August 2003. |  Click here to view | Rich J, Mason A, Bey T, Krafft P, Frass M. The critical airway, rescue ventilation and the
Combitube: Part 1. AANA J. AANA 2004: 72;17-27. Copyright AANA Journal 2004 - all
rights reserved. This article is posted with the permission of the AANA Journal. |
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 Click here to view | Rich J, Mason A, Bey T, Krafft P, Frass M. The critical airway, rescue ventilation and the
Combitube: Part 2. AANA J 2004: 72;115-124. Copyright AANA Journal 2004 - all rights
reserved. This article is posted with the permission of the AANA Journal. |
 Click here to view | Smith C. Cervical spine injury and tracheal intubation: a never ending conflict. TraumaCare.
2000;10:20-26.
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 Click here to view | Rich J. Street Level Airway Management (SLAM): If your patient can't breathe, nothing else
matters! Anesthesia Today. 2005;16:13-22. (Used by permission of Anesthesia Today).
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 Click here to view | Rich J. Dexmedetomidine as a sole sedating agent with local anesthesia in a high-risk patient
for axillofemoral bypass graft: A case report AANA J 2005: 73;357-360. Copyright
AANA Journal 2005 - all rights reserved. This article is posted with the permission of the AANA Journal.
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