05/25/2026
When a critically injured patient arrives in an austere or tactical setting, rapid airway control can save lives. I’ll walk you through a focused approach to surgical airway decision-making: when to act, what gear to rely on, and realistic outcomes to expect. Decision triggers: absolute airway obstruction, failed intubation after two attempts, or inability to ventilate. Equipment realities: carry a scalpel, bougie, cuffed endotracheal tube, and a simple tracheostomy kit—know the size and layout of each item by touch. Technique priorities: expose quickly, make a controlled incision, insert a definitive airway, and confirm placement with end-tidal CO2. Anticipate complications: bleeding, false passage, and the need for rapid transfer. Expect that timely, decisive action stabilizes oxygenation and improves survival, but plan for definitive care within the hour when possible. I teach these protocols and have consulted with military and civilian EMS services—use those lessons to tighten your team’s readiness. Westlake and surrounding jurisdictions: schedule a hands-on session to practice skills and kit organization with your crew. Learn more and book training: https://wix.to/BfOJxG2