Implementation tool for airway Mx by @NicholasChrimes. Addresses human factors considerations to facilitate real time use by teams during a crisis.
Australia
Joined September 2014
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The Vortex Approach retweeted
This PUMA foundation guidelines rec facilitates implementation of a rec made by ALL guidelines: to limit the number of attempts at ETT & SGA
Reliably doing this reqs counting them out loud in real time
“1st attempt at intubation”
In @Anaes_Journal
associationofanaesthetists-p…
The Vortex Approach retweeted
The PUMA Foundation guideline recommends all in-hospital airway practitioners should be able to intubate a patient awake.
It doesn’t have to be with a FB; it can be w VL, using a SGA conduit or via the neck.
Free full text in @Anaes_Journal
associationofanaesthetists-p…
The Vortex Approach retweeted
A message from DAS President Prof Alistair McNarry @altgm
Wondering why you should be at #DASWales26? Al has a few very good reasons..
📅 11–13 November 2026
📍 ICC Wales
Please visit
das2026.co.uk for further details and to register
The Vortex Approach retweeted
Our job as experts is to unpack intuition: What are we seeing? What patterns are we recognising? What makes us change course?
The ultimate demonstration of mastery is not knowing what to do, it’s being able to explain why, and teach someone else to do it.
The Vortex Approach retweeted
Calling expertise a “sixth sense” or “muscle memory” risks turning mastery into mystique.
Yes, complex airway management demands experience. But expertise that cannot be articulated cannot be reliably taught, examined—or improved.
The Vortex Approach retweeted
Technique for hyperangulated videolaryngoscopy.
From the PUMA guidelines for providing a foundation for airway management
Full free text in @Anaes_Journal
associationofanaesthetists-p…
The Vortex Approach retweeted
Neck rescue technique
Detailed instructions for training & an emergency guide to prompt implementation
From the PUMA guidelines for providing a foundation for airway management
Free full text forever in @Anaes_Journal
associationofanaesthetists-p…
The Vortex Approach retweeted
Extubation algorithm
Helps link evaluation to strategy
From the PUMA guidelines for tracheal extubation
Free full text forever in @Anaes_Journal at associationofanaesthetists-p…
The Vortex Approach retweeted
Awake extubation sequence.
Provide trainees with a framework to approach extubation or use for potentially challenging extubations.
From the PUMA guidelines for tracheal extubation.
Free full text forever in @Anaes_Journal at associationofanaesthetists-p…
The Vortex Approach retweeted
Airway exchange catheter user guide
From the PUMA guidelines for tracheal extubation.
Free full text forever in @Anaes_Journal at associationofanaesthetists-p…
The Vortex Approach retweeted
Protective sequence extubation
Analogous to RSI at intubation this provides recommended precautions when extubating patients ‘at risk’ of aspiration.
From the PUMA guidelines for tracheal extubation
Free full text forever in @Anaes_Journal at associationofanaesthetists-p…
The Vortex Approach retweeted
Management of laryngospasm
From the PUMA guidelines for tracheal extubation
Free full text forever in @Anaes_Journal
associationofanaesthetists-p…
RT @UniversalAirway: Extubation checklist
From the PUMA guidelines for tracheal extubation
Free full text in @Anaes_Journal
https://t…
The Vortex Approach retweeted
Algorithm for troubleshooting inadequate ETCO2
From the PUMA guidelines for preventing unrecognised oesophageal intubation
Free full text forever in @Anaes_Journal
associationofanaesthetists-p…
The Vortex Approach retweeted
Criteria for ‘sustained exhaled CO2’
Provide a clear trigger for identifying when ETCO2 is ‘inadequate’
From the PUMA guidelines for preventing unrecognised oesophageal intubation
Free full text in @Anaes_Journal
associationofanaesthetists-p…
The Vortex Approach retweeted
Consensus guidelines for preventing unrecognised oesophageal intubation.
The most widely supported airway guidelines ever published.
Free full text in @Anaes_Journal
associationofanaesthetists-p…
The Vortex Approach retweeted
This line in the Foundation guideline (citing the same paper) paraphrases the comment you made to me that inspired me to lift my HAVL game!
The Vortex Approach retweeted
Exactly why the @UniversalAirway guidelines ask you to instead make an individualised assessment of whether management will be ‘rapid & reliable’. The words ‘difficult airway’ do not appear in any of the guidelines.
The Vortex Approach retweeted
Technique for cricoid pressure
From the Guidelines for providing a foundation for airway management
Full free text forever in
@Anaes_Journal at associationofanaesthetists-p…
