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uh, can you hear me, Neil? Perfect s a guy's This is just from really base that on three. And it's stuff. Well, no, it's just to recap things and just to keep it fresh. Remember it when everything's coming. And so just on a couple of videos, you do it. Give us where how your basic is, and I'm going to start listening off. Okay? Yeah. My guys just gonna run the three basic area maneuvers and okay, yeah, we're going. Guys. Just gonna run three basic area maneuvers. And it's official. Very simple and easy. Something about a year. And I'm just all the things that we'll get you out of tricks, that you should be a way of breathing problem in any and the video. Okay. Yeah, we're going. Guys just gonna run three basic area maneuvers, and it's official couple months than any. Just your very simple and basics. Nothing. That's a year. And I'm just all the things that we'll get you out of tricks that you should be. You should wear a breathing problem in any and part of the video said that we're in a house PP's remember being in the air. It's like having your three years Everyone around you staying seems working. So first of all, we're just gonna run three pieces of equipment. It should all be familiar to you shrink everything. So your basic of all is your normal me last. And this is when I got sick. He has option requirement, and this will be our first quarter cold. And so it is connected to 15 liters of oxygen and in a we think it provides a point percent and spent right about 100 of air. So this is just your basic math, anyone that you're right. It's like with and loose. And we always have a concern. People seem very worried about patients to see to see if you're taking three medications. It's actually poke sale until you faster than hypercapnia will. So please do not stop giving options. Your patient, even if they are officially see you too, because way you kill someone faster, Um, lotion that high so in different diets every day, then our next, but it is very simply need for it. These are just little tiny and piece of quit. Sometimes it comes from and see if depends. If you have to put in them. Otherwise they disappear into your patient. We used to size him up. Just looking at the patient knows what are the patients finger. But generally you just look at the nose and shove one in. There's nothing fancy to them. Celebrity it them have Alexey get in. I don't like having out is don't use them in patients with suspected a little skull fracture or, if you cough usually significant nasal trauma. And so we've got six seven's and East here they come in size even smaller, and there is absolutely no skill to lose, just putting them in the nose. And these are really great for your patients that are sledding. GCS obstructed airway but aren't gonna tolerate on or foreign deal Airway or Dale because these are the least stimulating a bull. The next weeks of pick is, uh, Dale or or for Jill Airway. Come in. Variation sizes were doing little tiny ones from your kids and their psyche stuff. Okay, um, the corner of the mouth to the triggers. And so that one's probably that was really big. That was probably a bit small. So really say it's okay. Thank you So they're not difficult, either. Generally, we picked on upside dine and adults and then twist them going to put them in. It's the only caveat to that is in Children, where we use a tongue depressor and put them indirectly because we don't want to damage the little soft palate's. And that's just a little caveat to that, and these can be quite stimulating. So if you put one in a patient, I just better. But then it leaves a reminder, because there's nothing stimulating them again. Then have a patient. That is a very low GCS that you're struggling to meet in the airway with simple and early morning hours and junks, or a patient that has a going into cardio grass with guards gel. So they're generally sizing weeks of a patient. So I am from before is gonna go to for most people is 52 90 kg, five for 90 pills plus and we three years for a 30 day 60. But we do do them, and even smaller pediatric size is, and these are really simple to pin and just put me about medication. If they're if they need to do this on and essentially just pitched in in a patient that hasn't lost their I pitch. That's good sometimes cause liver and just, um so if you find this is the situation where you just take a night, go back to your simple and mask over the fierce and Joe Thrust AM and other things just was a continual at the back of throat, and they often get better with time. It's because they mold, and so they initially might not have a great seal, and eventually with the heat of the person they sometimes mold bit better. We've also got a little porch that's meant to say over the gastric, right? Let's so you can actually suction here and get us to come to incite with a little and suction catheters is really good for that. And we sometimes some airway Cialis might have the old fashioned elevates exactly see, and you put them in. But you just have to inflate a probable that she put them in. So that is knees Oh, deal or farm jail gels. But generally, if you are comfortable, this that's fine. You just need to get it doing just a simple job. Trust, paying a mask, alarmed much generally gonna be absolutely fine for any patient you're gonna be looking after his only she did well in terms off when you're munching airways in and you'll often find that using this piece of kicked this is a C circuit, and we have attached some anti to see you, too, in any patient that you're looking after with an airway or breaking concern Entitle see your T is is one of the best pieces of kit. It's going to tell you there's a problem way before your saturations drop, and I'm telling you there's a peek in there with some. Essentially, if you don't have see you to tree, is there something wrong? Something is wrong with your way and always and intend to believe this further than thinking that problem of the equipments. Often, people think, Oh, it's just not connected right, But you've got it connected in and you're not going to. It's usually a patient airway problem rather than anything else. Got just simple masks, and there's just try and get one. If it's a patient, well, so covers or my nose getting a good state of some of them, you have to re inflate yourself. These ones are already on their exactly see a clear ones that three months exactly see it was just There are different brands, and C circuit is absolutely fantastic. If you have oxygen two places, they're not what we call a self implanting bag, which is this one so way. Always need to have a self feeding bag and on our airway, Cialis and keep going to have oxygen or auction feels especially if you go on an anesthetic transfer. You always need to have a cell completing bag in case you run out of options supply on. The reason is, even if your if your patients not breathing, you can still buy them. I shouldn't just been a on do you absolutely cannot go with this. It's busy piece of kit, and it's what you must have available to you. But it's very hard to breathe past and honestly in back for patients with constipation itself and bleeding that you don't need a bag, then this is actually quite hard for them to bring against, which is why we also get more control with C circuit. So see circuits go a little valve here called APL well, what you can increase in decrease, and I'll show you how that works. Molly. So same again. 15 years of oxygen. And so with auction, the with bag. So this has got a little Philly open, so patient able to breathe in and is normal with that. There's no paper pressure pill and put it off a little bit of a patient, a little bit of what we go peek and experience your pressure. Now being against that will just keep the Enbrel really a little bit open to protect Teo. Help your breathing a little bit, he sees in pleading with the auction going in and it's very easy, Teo Cushion. And but if I put it the whole way up, essentially, the patient will not be able to breathe against that, and I'll have to completely bag them with us. Sorry, it's hard to demonstrate no close circuit. So that's why we love this one with people with pitch in any For me, she's If you're not happy, don't worry. You can do everything with, uh, in order and Grace. I'm gonna go back either or so we're going to run through a quick scenario. Just just demonstrate all of the equipment that I was like just to mention a suction. In any situation, you always need to have suction available. Check. It's working. And any transfer? You do have a d Make sure you know where a section is. Take a portable section with you. You know what patient of mine gave me everything. So we're gonna increase night, so that's so Can you hear me? All right. It was kind of making gurgling noises. Weight was gonna put the SATs program and see where that's reading. Just dio chin there. I'm just going put some high folks. You on that and I'm gonna call him help. I can get some help here, please. Oh, I am having, um but what about this chap? He's got a pulse and he is breathing, but a little bit ways Maybe got it on. Every problem is kind of like snoring and gurgling and you can see actually do bit of a bit of a bit of a chair lift, and that's helping away. But then it kind of sort of start start slightly, including his airway. That so? No, no. But surely will also need to do at this point. you just okay, $15 and got with that option, there will come up. Okay. Yeah. So you stopped snoring so much. Now I think I just let that go. Think, keep pressure on, really get We'll get some of the biggest child. Put them under the shoulder. A physician for you, We haven't. And Well, do you think? Okay, yeah. I just take this small store a look in there. Just maybe a little bit spittle and no best large foreign bodies. I can say that. Quite a big, chunky tongue in the way. Yeah, keep the job. Depression with the job. I'm just trying to help me a minute. Yeah, this one away. Um, I guess maybe I could try and put the nasal pharyngeal in. She's quite Big lake. So I reckon probably will go for the biggest one. That besides eight. I'm just gonna put this into your nose. Okay? I will be right. Nice. Just let me know if it's not because the problem better resistance. Try the other one. That may be one. So we're going to go on it for that one. Yeah. Struggling to go even one. I didn't like that very much. I think we maybe give up hope. That's okay. We'll get your trust now. Well, she's gonna be included before. Yeah, some more information about this, but in the meantime, Cultural dressed old. He should of moaning, and it doesn't like it, but yes, certainly not fully conscious, but control not in that 15 liters. So more health coming. Look at it. A and starting to find a bit more. Hardly. We could try it out. I'm in the toilet, But try that. Well, size. And, uh, that's maybe a certainly small We got started. Bigger One. Next one up. Right. All right. So yeah, moment. Okay. Yeah. Yeah. So that's he's SATs are okay at the moment. Yeah, he's tolerating that at the moment, but yeah, I was quite big happens. Seems quite drowns out. He's maybe had a bit too much morphine or something. Well, it doesn't was rest areas, but it doesn't seem to be breathing. A lot falls may. I'm doing. She says that he has fallen over and 15 be more. Uh huh. Right, Right. Way Like people's as well. Quite small. So maybe got too much. It's going to get covered, huh? Yeah, little bit. Is this You're, um hum okay that time? Yeah, I might. I might remain there to have a technique to start with. I think I know I'm not great. That to the, um unless it might just have to help me get it it out, like, slightly better seal with this. Let's give that goes for a few breaths. Yeah. Was out fully open. Is it? It's just Yeah, holes. That's why I didn't play to realize, probably. So give out just this one. Yes, most into that. Yeah. Okay. It's just really be just a really tackled everything, you know? All right. And is there any questions about that at all? I Can I Can I say my five pence m a high? Yeah. Yeah. I mean, I think, you know, you're obviously very confident with their ways you've done. You've done a lot of anesthetics, and that's great. I think I think from a take home message with people like me, that happened a little anesthetic training and less confident Your airways are quite intimidating. Uh, if you worry about, you know, having to you intubate on, do not confident doing that. So I think that the take home message for me is just just, you know, stay Tom on. Do get the basics right there if you're on your own on. But you know, you you've got you know you need to manage in a way like that. I think it's just a card important for help and do the basics there. I think that will often get you out of trouble. Or at least by you, enough time until, um, somebody more experienced or better training to can intubate or whatever competently will turn up. So I think that's take a message for you know, people like me and not the other guys in the department that haven't, you know aren't quite confident you are. With With Airways, it's just, you know, do that basic stuff that, um let's just run through there and, um, call for help on Don't lose your cool. Really, He's just said and done. I know, but you know, it's surprising, surprising how often that the basic stuff will just, you know, least buy you some time to really and so much days. And that was really good. Every demonstration off, some basic every month, and I think the key thing for us in 80. And certainly for the judge in your in your members of stuff here, um, less than than and it is for help on the easiest way to do that. Any ideas to pull the buzzer or just to show you that your hand on got lots of help on quickly? I think that's the big key tech home message on both for that will give you a bit of confidence about understanding in terms of the basic every minute versions on details that we will use Open Airway on doesn't have any questions coming through. So on we will just stop the recording and made on.