I recently participated in a training/education session at a prominent hospital in Indianapolis. I participated in an eight hour session involving a 91 year old female cadaver. I was surprised, pleasantly, by the inclusion of other health care providers in the session. EMS professionals, a few nurses, and a couple of doctors participated and shared information among each other during the session. The staff leading the session were all paramedics with special training in the instruction and use of cadavers. I was informed that only seven or so people in Indiana have received this training.
One of the paramedics leading the session is also a funeral director.

Laryngoscopes
The purpose of the session was to practice skills generally considered susceptible to skill decay with a primary focus on surgical and needle cricothyrotomy using traditional laryngoscopy and video laryngoscopy via a GlideScope. The bulk of the training session focused on the anatomy & physiology associated with the procedures. Alternate methods of determining landmarks were demonstrated and everyone in the session was evaluated and performed multiple identifications on our cadaver. Discussions included scenarios where improper landmark identification could become problematic.
We spent more than 75% of the allotted time on airway management. This included basic airway management using BVM, oral and nasal adjuncts, King Airway & CombiTubes, LMA insertion, and S.A.L.T device.
Tracheal intubations were practiced by all using both Macintosh and Miller blades as well as the video GlideScope. Everybody had the opportunity to perform as many intubations as they liked. Staff was very approachable and eager to offer tips and solutions to common problems associated with tracheal intubations in the field. Gum Bougie use was also demonstrated and utilized in our practice session as well as intubation without the device.

I was unaware of the S.A.L.T device as it isn’t used in my system. I found it particularly interesting since it may make tracheal intubations fast and easy. The general consensus was that if this device was all it is advertised to be it might very well be the best BLS oral adjunct option available. I wonder why it isn’t more prominent.
At the very least it should be an option in my opinion.
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