Best use for a bougie?

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LITFL wants you to leave a comment telling us what your most ineventive, creative and/ or useful use for a bougie is. Need an incentive? Think honorary F.UCEM status…

Befriend the bougie!

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John McGill and HQMEDED present a couple of fantastic videos on how to best use the bougie for emergency intubation (hat tip to EMCrit).

Own the Airway!

Bougie-assisted digital intubation. (a) After the epiglottis is identified by palpating it with the long finger of the left hand, the bougie is threaded through the glottis and advanced into the trachea. Tracheal clicking elicits tactile vibrations, which confirm tracheal placement of the bougie. (b) The bougie is withdrawn slightly so that the 25-cm mark is at the corner of the lip. The endotracheal tube is threaded over the bougie while the bougie is stabilized in place. (c) With the bougie held in place, the endotracheal tube is turned a quarter turn to the left and then advanced to an appropriate depth. (d) The tube is held in place while the bougie is withdrawn. Tracheal intubation is then confirmed using capnography or an esophageal detector device.

The LITFL team have scoured the web to find the best collection of online instructional videos known to man or woman to help you ‘own the airway’!