Heavy Lies the Helmet Episode 136 - Bronchoscope of Practice
Jan 14, 2026
They explore prehospital bronchoscopy and when it might help with airway obstruction in the field. Conversations cover device options, diagnostic versus therapeutic uses, and three practical indications like mucus plugs and massive bleeding. Training, competency challenges, system fit, alternatives when scopes are unavailable, and frameworks for safe implementation are also discussed.
AI Snips
Chapters
Transcript
Episode notes
Disposable Scopes Make Field Use Practical
- Disposable bronchoscopes and Glidescope integration make prehospital bronchoscopy technically feasible.
- Pediatric and adult sizes fit specified ET tubes, and smaller tubes restrict maneuverability.
Use Scope For BAL And Therapeutic Clearance
- Use bronchoscopy for diagnostic BAL and therapeutic suctioning or foreign-body removal when indicated.
- Feed, lavage, and suction to identify pathogens or clear obstructing material.
Build A Structured Training Program
- Don't assume bronchoscopy should be centralized to specialists; train motivated non-specialists with structured programs.
- Partner with anesthesia/OR for hands-on reps and maintain frequent simulated practice.