Download - Habig: To Air is Human
“To Air is Human”
Lessons From The Air Karel Habig
No Disclosures
Safety inMedicine?
•Pic of AW139 cockpit
PlaneCrashInfo.com
Boeing 2010
Accident Rate by Aircraft Generation
•Cockpit vs RESUS bay
•Aviation Safety beyond CRM
•NONtechnical Factors
•ENGINEERED SAFETY
•STANDARD OPERATING PROCEDURES
•CHECKLISTS
•TYPE RATINGS CURRENCIES AND LINE CHECKS
•REPORTING SYSTEMS
•Interhospital patient
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•PAED RSI
Assumption
No policy
‘Difficult’ airway
Equipmentlocation
Criticaldesaturation
Decision tointubate
•Aviation Safety beyond CRM
•NONtechnical Factors
•ENGINEERED SAFETY
•STANDARD OPERATING PROCEDURES
•CHECKLISTS
•TYPE RATINGS CURRENCIES AND LINE CHECKS
•REPORTING SYSTEMS
PATIENT PREPARATION
EQUIPMENT REDUNDANCY
IV x 2
Suction x 2
ETCO2 x 2
Laryngoscopes/ Blades/Tubes x 2
•Equipment
STANDARD SET-UP
INDUCTION SAFETY
•Training
•RSI Currency
SIMULATION
BACKUP PLAN
DailyCase review
Coffee n Cases24 hr Follow Up
FortnightlyClinical Governance
DaysCase presentations
MonthlyM&M
Clinical KPIsAirway Audit
QuarterlyInduction trainingClinical Currencies
Its all about First Look...
380 PREHOSPITAL RSIs 2009-2012
Overall >99% intubations successful
91% on First Look
