SALAD – Intubation Technique

Suction Assisted Laryngoscopy for Airway Decontamination  SALAD is an airway intubation technique utilized for patients who are actively regurgitating. It was pioneered by Dr. Jim DuCanto. Steps in the technique include: Lead with suction catheter to remove debris. Insert laryngoscope while catheter remains in pharynx. Move suction catheter to left side, behind the laryngoscope blade and leave tip in the

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Steps: (right handed) Left hand stabilizes thyroid cartilage (1) Left index rests over cricothyroid membrane (A) Right hand #10 scalpel makes vertical incision over entire cricothyroid area (3cm) Left index finger palpates for cricothyroid membrane Right hand #10 scalpel makes horizontal incision through crycothyroid membrane Left index finger goes in hole (insert bougie if using one) Place 6.0 endotracheal tube

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Tranexamic Acid (TXA)

Tranexamic acid is a synthetic form of lysine, an amino acid. It is classified as an “anti-fibrinolytic” which means it is a  pro-coagulant. It binds to receptors on plasmin preventing it from breaking down fibrin clots. Tranexamic acid was originally discovered in 1962 and is currently on the World Health Organization’s list of Essential Medicines.  The drug has been studied

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