Rapid Orogastric Tube Insertion

Paul Willette, DO, FACEP demonstrates the rapid insertion of an OG tube using a novel technique. For more information, please read his post on ALiEM linked below.
The patient filmed in this video signed a release form to enable this video to be utilized for educational purposes.
www.aliem.com/2017/trick-of-the-trade-rapid-insertion-of-oral-gastric-tube

[@CatoELYounger]

It worked great! I had an intubated OD that I could not pass the OG. Put an ET in the goose and it gracefully went into the stomach w/o resistance. Thanks for making the video and sharing!

[@gator7082]

Good stuff, we have added this to our Pre-Hospital protocols.

[@pseudopseud]

Are there any videos demonstrating how to carefully remove the ETT introducer after?

[@miaeba]

Interesting method... There was no gi contents on the aspiration.
But thank you for posting

[@mdtrgoltz]

I have done this for maybe 15 or 20 years...

[@j7luftig]

brilliant! thanks for posting!

[@sigma697]

You are a life saver. Thanks!

[@ajajaajaja2213]

Camera is at a horrible angle. Can’t see nothing,

[@andrew1234856]

Costly, but works

[@mcal9320]

I like it, Ill give it a try sometime. Any advice for field personnell in using this technique?

[@tannerjones7206]

What do you use to cut the OETT once you’re done with it? Any suggested shears?

[@nikmoleena]

How can you be sure that the ETT won’t be displaced with this procedure?

[@Etomidate]

He is holding the tube while inserting the gastric ETT

[@ekm725]

And if you’re passing it through an ETT how does it not end up in the lungs?

[@kymedic25]

the patient is already intubated and the second ETT that the OG tube is going through is in the esophagus

[@tmartikyan]

How long Can you leave OG tube with ET together?

[@timoureye]

Link is now:
www.aliem.com/2017/02/trick-rapid-insertion-orogastric-tube/