- Life/form by Nasco Healthcare
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Paramedics, EMTs, combat medics, flight nurses, anaesthesiologists and other emergency medical personnel will have the opportunity to strengthen ability and confidence to perform or assist in implementing surgical airways. Anatomically accurate landmarks aid in site training and allow for fast action.
The hyperextended neck allows the user to determine the proper incision site. The trachea in the simulator is replaceable, as the airway passes completely through from top to bottom. This allows checking the stylet and obturator placement once the incision has been made.
Complete with a chin and full-size neck, use ties to hold the obturator in a secure position. Inflation of the simulated lung verifies correct placement.
A cricothyrotomy is often used as an airway of last resort given the numerous other airway options available including standard tracheal intubation and rapid sequence induction, which are the common means of establishing an airway in an emergency scenario.
Cricothyrotomies account for approximately 1% of all emergency department intubations and are used mostly in patients who have experienced a traumatic injury.
Indications for Cricothyrotomy
Some general indications for this procedure include:
Inability to intubate
Inability to ventilate
Inability to maintain SpO2 >90%
Severe traumatic injury that prevents oral or nasal tracheal intubation
Inability to identify landmarks (cricothyroid membrane)
Underlying anatomical abnormalities such as a tumour or severe goitre
Acute laryngeal disease due to infection or trauma
Small children under 12 years old (a 10–14 gauge catheter over the needle may be used)
The procedure was first described in 1805 by Félix Vicq-d'Azyr, a French surgeon and anatomist. A cricothyrotomy is generally performed by making a vertical incision on the skin of the throat just below the laryngeal prominence (Adam's apple), then making another transverse incision in the cricothyroid membrane which lies deep to this point.
A tracheostomy tube or endotracheal tube with a 6 or 7 mm internal diameter is then inserted, the cuff is inflated, and the tube is secured. The person performing the procedure might utilise a bougie device, a semi-rigid, straight piece of plastic with a one-inch tip at a 30-degree angle, to provide rigidity to the tube and assist with guiding its placement.
Confirmation of placement is assessed by bilateral auscultation of the lungs and observation of the rise and fall of the chest. Alternatively, bedside ultrasound has been used increasingly to guide the procedure and confirm the placement of the tracheal tube. It may especially be helpful in situations where a neck collar is placed.
This procedure is rarely performed, given advancements in airway technique and adjuncts, and thus simulated training is of paramount importance to correctly perform this procedure under a high-stress situation.
WHEN WILL MY ORDER ARRIVE?
Items immediately available from UK stock are usually delivered in 2-5 days.
We do our best to manage stock levels efficiently, however, we can only offer the most competitive prices by keeping our overheads to a minimum. We ask that you please be patient if items are out of stock as backorder deliveries typically take 2-4 weeks and special orders can take up to 12 weeks.
If an item is on backorder we will inform you as soon as possible and provide an estimated lead time. Once your order has been despatched from our fulfilment centre we will provide you with tracking information.
For urgent orders please contact us before placing your order to check stock availability.
HOW MUCH DOES SHIPPING COST?
FREE SHIPPING applies to website orders over £100.00 + VAT being delivered to a single Mainland Great Britain address.
Shipping for orders below £100.00 + VAT is charged at £8.00 + VAT.
Non-website orders are subject to a fee of £8.00 + VAT.
Shipping to Northern Ireland and British Forces is charged at £25.00 + VAT.
Items weighing in excess of 20 kg are exempt from free shipping. Shipping for these items is calculated based on weight and geographic location respectively.
International shipping is provided on a case-by-case basis, please contact us for a quote.
We reserve the right to refuse or cancel orders if we suspect a transaction to be fraudulent or in breach of agreements with our suppliers.
Due to the high value of the products we supply, a signature will be required upon delivery.
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