Drs. Ron Walls, Michael Murphy, and Robert Luten, as creators of the Difficult Airway course, have already done much to build emergency medicine providers' confidence with managing difficult or failed airways. Now they aim to bring their expertise to the bedside with the Difficult Airway App, available in the Apple app store.
The app includes airway algorithms, mnemonics for predicting difficult airways, guidelines for managing succinylcholine-induced hyperkalemia, and airway pearls. But where the app truly shines is in two additional sections: the RSI dosage calculator and the video demonstrations.
The RSI dosage calculator provides recommended doses and medication choices based on weight, body habitus, blood pressure, and pertinent comorbid conditions for adult patients. RSI recommendations for pediatric patients are provided based on weight or height. The dosage calculator includes medications for pretreatment, induction, paralysis, and maintenance as well as appropriate equipment sizes and vent settings.
What makes this app really valuable to emergency physicians is the background algorithm that provides different medication recommendations based on the input of blood pressure (“low” or “not low”) and premedication indications. Recommendations change over time, but this app will ensure the most up-to-date recommendation at the bedside if you update appropriately.
The included videos explaining surgical airway options (cricothyroidotomy) and video laryngoscopy (GlideScope) are well done, and provide detailed explanations and demonstrations. Overall, the app is simple to use and well designed. At $14.99, it is a great tool for any provider who manages difficult airways. Read more about it at http://bit.ly/ObBczn.
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