Best Case Ever 36 Tracheo-innominate Fistula

tracheostomy bleedIn this Best Case Ever with Dr. Scott Weingart, the brains behind EMcrit.org, we hear the devastating story of a tracheostomy gone bad. Dr. Weingart shares with us what he has learned about how to manage massive hemoptysis in tracheostomy patients, and in particular, a step-wise approach to managing a tracheo-innominate fistula.emergency management of pediatric seizures

We discuss the balance between providing maximal aggressive critical care while maintaining a deep respect for the risks associated with the procedures we perform. Recorded at North York General’s EM Update Conference, 2015.

Title
BCE-036-Jun2015-Tracheostomy-Bleed-WEINGART
Title
BCE-036-Jun2015-Tracheostomy-Bleed-WEINGART
 

Recorded May 2015; Published June 2015


 

To review the initial management of massive hemoptysis in the tracheostomy patient and how to deal with the dreaded tracheo-innominate fistula see Justin Morgenstern’s First10EM post – The Bleeding Tracheostomy

 

Repair of a Tracheo-innominate Fistula

Reference

McGrath BA et al. Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies. Anaesthesia. 2012;67:1025-41.

Dr. Helman & Dr. Weingart have no conflicts of interest to declare

Anton Helman

Anton Helman

Founder & Host
Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine, the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute and is on the advisory board of The Teaching Institute. He is the founder and host of Emergency Medicine Cases.
Anton Helman
Anton Helman
anton@emergencymedicinecases.com

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