The first African presentation of the PEMC (Pediatric Emergency Medicine Course) is being run as one of the pre-conference workshops for ICEM 2016 at Red Cross War Memorial Children’s Hospital today. OpenAirway is present, assisting with the airway stations. Course instructors have given their blessing to host some of the supplementary material online for the #FOAM community, so we have created a PEMC resources page here! More content will be added as it becomes available.
This common problem is worst with small bougies, such as in this paediatric example of a child with severe burns and a difficult airway. The bevel of the ETT allows the tip of the tube to stick out right (laterally) of the bougie and snag on the right arytenoid cartilage. This can be remedied by withdrawing the ETT slightly (to disengage it from the arytenoid), effecting a one-quarter counter-clockwise rotation of the ETT on the bougie (bringing the bevel and tip of the ETT into a superior midline position snug with the bougie), and then advancing again.
https://www.youtube.com/watch?v=DvnQL56FHZ8&feature=youtu.be