The Vortex Approach

Implementation tool for airway Mx by @NicholasChrimes. Addresses human factors considerations to facilitate real time use by teams during a crisis.

[Safe Airway Society @SafeAirway]

SAS President @EllardLouise will be part of the faculty for #SASNoosa2026

Join us at the Elysium Noosa Resort Fri 28th Aug (don't forget the Airway SIG meeting on Thu 27th Aug at the same venue)

Details: https://t.co/0fYRRnED3y

Airway SIG details: https://t.co/jK4Wb19DbC

[Safe Airway Society @SafeAirway]

We're excited to welcome @cliffreid as one of our keynote speakers at #SASNoosa2026. Join us at the Elysium Noosa Resort Fri 28th Aug (& don't forget the Airway SIG meeting on Thu 27th).

Workshops, panel discussions, guideline launches & more.

Details: https://t.co/0fYRRnFaT6

[Safe Airway Society @SafeAirway]

Thrilled to have @dasairway President, Prof @altgm as a keynote speaker at #SASNoosa2026.

His small group discussion session on Airway Leads with @DrRaniChahal has already SOLD OUT!

Elysium Noosa Resort Fri 28th Aug (Airway SIG meeting 27th Aug)

Details https://t.co/0fYRRnFaT6

[Safe Airway Society @SafeAirway]

Australia & New Zealand's leading airway education organisations come together for the 1st time for back-to-back meetings at the Elysium Resort Noosa.

Registration:

SIG Meeting: https://t.co/jK4Wb1ab1a

SAS Meeting: https://t.co/DLqbonrzAz

[Safe Airway Society @SafeAirway]

A few places still available for our Gosford Airway Workshop this Saturday morning (& optional Airway Ally workshop on Friday afternoon for airway assistants).

Station Leads:

Neck Rescue: Adam Rehak

HAVL/VAFI: @NicholasChrimes

Trachy/lary emergencies : Jon Gatward

[Project for Universal Management of Airways @UniversalAirway]

At the SIG meeting @EllardLouise will be presenting the PUMA extubation guidelines. The next day at the @SafeAirway annual meeting @NicholasChrimes & @AndyHiggsGAA will launch another PUMA guideline.

2 days of PUMA goodness from @ANZCA @ASA_Australia @TheNZSA & @SafeAirway!

[Safe Airway Society @SafeAirway]

Australia & New Zealand's leading airway education organisations come together for the 1st time for back-to-back meetings at the Elysium Resort Noosa.

Speakers include @altgm @STHJournalClub @cliffreid @DrRaniChahal @EllardLouise @NicholasChrimes @iliff_helen @AndyHiggsGAA

[Safe Airway Society @SafeAirway]

Our Melbourne airway workshop yesterday was a huge success!

Limited places still available for Gosford on Sat 9th May.

Registrations for Darwin on Sat 13th Jun are now open!

Registration also open for annual meeting in Noosa on Fri 28th Aug.

https://t.co/K71ALsAqeb

[Safe Airway Society @SafeAirway]

Registrations are open for #SASNoosa2026!

Great faculty including keynotes @dasairway President @altgm and @SydneyHEMS's @cliffreid.

Check out the program & register here: https://t.co/0fYRRnFaT6

[Nicholas Chrimes @NicholasChrimes]

Cricoid pressure facts from @doctimcook

There’s no RCT evidence it reduces aspiration risk but there’s also no RCT evidence that ANY component of RSI reduces aspiration risk.

Meanwhile, CP does have a reasonable amount of other experimental evidence that it works. No other component of RSI has ANY evidence at all!

[Nicholas Chrimes @NicholasChrimes]

“In the present day, unrecognised oesophageal intubation is a blight on airway management. It causes regular airway deaths, all of which are entirely avoidable and most of which are likely either never identified or never reported”

From @doctimcook. Free full text in @ResusJournal

[Tim Cook @doctimcook]

Delighted to see this editorial published in Resuscitation

Described as hard hitting it addresses
- the ongoing and unacceptable high rates of unrecognised oesophageal intubation in some out of hospital settings
- current methods to reduce this
- future opportunities to make this even more failsafe

https://t.co/IgnYxHvPqE

[Safe Airway Society @SafeAirway]

Registrations are open for the Melbourne & Gosford stops on our 2026 #AirwayWorkshopRoadshow.

3 x 90min stations
HAVL & VAFI
Trache/Lary Emergencies
Neck Rescue

Secure your place here: https://t.co/FPOvN6a0mX

[Project for Universal Management of Airways @UniversalAirway]

Deaths from unrecognised oesophageal intubation continue to occur. We are all vulnerable to making this error. Ensure your department is familiar with the guidelines for preventing a tragic outcome.

Free full text in @Anaes_Journal

https://t.co/fcMbLTlJpB

[Safe Airway Society @SafeAirway]

Save the date for #SASNoosa26.

Held in collaboration with the @ANZCA @ASA_Australia @TheNZSA Airway Management SIG meeting, get ready for 2 days of high quality airway education 27th & 28th Aug in Noosa Heads, QLD

[Tim Cook @doctimcook]

Why not use RSI for all patients on a GLP1 agonist?

First - because (as per my previous tweet) the risk of aspiration is >600-fold lower than the risk of having a full stomach

Second because RSI is not a benign technique
- increases risk of failed intubation 8-fold
- increases risk of anaesthetic overdose (CVS instability etc)
-increases risk of anaesthetic under dose (awareness)
Etc etc etc

If using muscle relaxants and TT when otherwise would be using an SGA
-increases risk of airway complications at insertion and removal from use of TT
-increases risk of anaphylaxis from NMBA
-and awareness (from NMBA)

So I think quite a few reasons to pause before deciding swathes of folk need RSI

[Nicholas Chrimes @NicholasChrimes]

Great point about not endlessly suctioning in pulmonary oedema. Common error in my experience.

Suction in this situation is to reveal the glottis, not clear fluid from the lower airway.

Clearing lower airway of pulmonary oedema fluid requires application of *positive* not negative pressure.

Once you can identify the glottis, get the patient intubated & ventilated w PEEP rather than pfaffing around trying to vacuum up pulmonary oedema fluid (which will keep coming until there’s no plasma left)!

[Tim Cook @doctimcook]

Great to see this published

Emergency Front of Neck Airway registry (eFONAr)

Coming to the UK soon

@elboghdadly @dr_imranahmad @altgm (@NicholasChrimes)

https://t.co/2siBvGoU4c

[Nicholas Chrimes @NicholasChrimes]

Save the date for the @SafeAirway 2026 Annual Meeting.

Held in collaboration with the @ANZCA @ASA_Australia @TheNZSA Airway Management SIG meeting the shared theme is 'One Airway, One Team'.

Register interest here for alerts when registrations open.

https://t.co/jSVrlEGOYt

[Nicholas Chrimes @NicholasChrimes]

Registrations are now open for the @SafeAirwaySociety's Gosford Airway Workshop. Come learn HAVL, VAFI, Neck Rescue & management of tracheostomy/laryngectomy emergencies on NSW's sunny Central Coast.

Qualifies for @ANZCA & @CICMANZ CPD

Register here: https://t.co/G76KGMjIaz