Pre-Hospital Care Podcast
Front of Neck Access (FONA) and the SALAD technique (Suction Assisted Laryngoscopy and Airway Decontamination) With Cliff Reid
Oct 21, 2024
Cliff Reid, a physician with over 20 years in air ambulance and critical care, shares his expertise on Front of Neck Access (FONA) and the SALAD technique. He discusses the complexities and risks of FONA, especially for vulnerable patients like infants. The conversation reveals practical insights on mastering SALAD for contaminated airways using specialized techniques. Reid also emphasizes the importance of teamwork, effective feedback, and mindset shifts in emergency airway management, demonstrating how real-life scenarios influence critical decision-making.
40:35
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Quick takeaways
- Front of Neck Access (FONA) is a critical skill used in life-threatening situations when traditional airway routes fail, emphasizing the urgency and risks involved.
- The Suction Assisted Laryngoscopy and Airway Decontamination (SALAD) technique enhances airway management by ensuring a clear view and preventing contamination during intubation.
Deep dives
Indications for Front of Neck Access
Front of neck access (FONA) is performed when traditional airway routes are inaccessible, primarily in life-threatening situations where oxygenation cannot be achieved. Clinicians are advised to consider this option when both nasal and oral intubation have failed, or in rare cases where the patient's position makes it impossible to access the airway through the mouth or nose. Cliff Reed emphasizes the critical nature of this procedure, highlighting that if there’s a lack of oxygenation opportunity and action isn't taken, the risk of harm increases significantly. He notes that while FONA is a rare intervention, it is vital to know when and how to proceed to ensure patient safety.
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