[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-362576-105":59,"doc-detail-362576-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","adult-airway-scenario-halva-glass-scenario","Adult Airway Scenario - Halva Glass - Scenario","","Adult Airway Scenario: Halva Glass presents a clinical simulation involving a 43-year-old intoxicated patient with obtundation after reported drinking and an unattended pre-alert. The scenario guides a team discussion on whether and when intubation is indicated, emphasizing airway opening maneuvers, maintaining oxygenation, managing ventilation with bag-valve mask support, and preparing for delayed sequence intubation. It also covers post-intubation monitoring, hypotension and gas/breathing reassessment, key learning opportunities, and safety reminders for team-based problem solving.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/adult-airway-scenario-halva-glass-scenario/362576/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/adult-airway-scenario-halva-glass-scenario/362576.png","ImageObject",300,407,{"name":92,"@type":93},"Terk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What clinical signs indicate airway compromise in Halva Glass?","Question",{"text":113,"@type":114},"The patient has snoring respirations, shallow breathing, and low oxygen saturation that improves when the airway is opened and oxygen is provided. Repeat vitals show worsening trends without airway control and improvement after intubation with effective oxygenation.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How does the scenario guide decision-making on intubation?",{"text":118,"@type":114},"It focuses on weighing the pros and cons of intubation and practicing safe airway management. The scenario highlights that intubation is needed if the patient is not improving or is trending down, and that delayed sequence intubation is indicated with good pre-oxygenation and preparation.",{"name":120,"@type":111,"acceptedAnswer":121},"What key learning points are emphasized for airway management and team work?",{"text":122,"@type":114},"The document stresses correct insertion technique for oropharyngeal airways while watching for gag reflex, assisting ventilation to avoid gastric inflation, avoiding bagging when appropriate to reduce aspiration risk, and mitigating aspiration and hypotension risks. It also repeatedly reinforces early decision-making and team-based problem solving.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},362576,1790251585,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},1099525198933,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Adult Airway Scenario  \nHalva Glass  \nGeneral description  \nThis is an adult airway scenario involving intoxication/overdose resulting in an obtunded patient.  \nThe scenario creates the opportunity for the team to discuss considerations around whether intubation is indicated—the pros and cons, and a safe approach.  \nThe need for simple airway manoeuvres, resulting in a patent airway is good practice and then the issues around airway maintenance and protection in transport (or even in the facility) can be addressed.  \nA brief note on this scenario description  \nVital signs are given as a guide. It is impossible, when writing a scenario, to predict how the scenario will progress, so please feel free to alter them, within reason, to fit the clinical situation. Changing vital signs should not be a way of playing games or 'punishing' actions.  \nIncluded are a few useful ‘resources’ on the bottom right side of the page that relate to this scenario. Also included are resources that provide interesting background information relating to airway care.  \nLast minute reminders  \n• Fun  \n• Fast  \n• No one 'on the spot' too much  \n• Never 'punish' an action  \n• It's about relationships and team working...and team success  \n• Foster group problem solving  \n• The written scenario is a 'guide'. The skilled facilitator will adjust it to fit clinical interventions, learners needs, emotion of the moment etc......success is important!  \nResources  \n• RSI resources in Critical Procedures at  \n[theCAREcourse.ca](theCAREcourse.ca)  \n• NODESAT  \n[emcrit.org/preoxygenation/](emcrit.org/preoxygenation/)  \nHalva Glass  \nBackground (read aloud at outset)  \nNAME—Halva Glass.  \nA 43 year old woman is brought in by the ambulance ~10 minutes after a 'pre-alert' message is received by the facility by phone. She is said to be 'unconscious' and 'has been drinking'. The ambulance and police were called to her house. She was in the front yard on the ground.  \nShe had been seen in the general store a little earlier in the day. You know her as a patient. She previously had an alcohol problem but had been dry for the last 4 years.  \nInitial Vitals  \nAppears  \nHR 68  \nEyes 2  \nBP 112/60 Verbal 2  \nRR 16  \nMotor 2  \nTemp 36.1 ax  \nO2 Sat 93% on O2  \nGluc 4.1  \nAdditional History (info given if participants ask)  \nSymptoms / Story  \n“What's  \ngoing on?”  \nAllergies  \nMeds  \nPast  \nMedical  \nHistory  \nLast Meal  \nEvents  \nAs above. Early on the police arrive from her house and inform you that an empty bottle oflorazepam, in someone else's name, was found in the bathroom of the house.  \nNot known.  \nUnknown. None on thepharmanet search  \nKnown to you—alcoholic in the past but had been dry for the last 4 years. Not seen in Emerg in the past two years.  \nNot known  \nAs above  \nInitial Assessment  \nSupine.  \nAirway—snoring respiration. Breathing—a bit shallow.  \nCirculation—as per vitals, no bleeding seen.  \nGeneral Exam—unremarkable.  \nRepeat Vitals (if airway opened and maintained and oxygen given)  \nAppears  \nHR 74  \nEyes 2  \nBP 110/68 Verbal 2  \nRR 14  \nMotor 2  \nTemp 36.0 ax  \nO2 Sat 98% on O2  \nGluc 4.4  \nRepeat Vitals (post-intubation)  \nAppears  \nHR 100  \nEyes –  \nBP 112/62 Verbal –  \nRR – Temp 36.3 ax O2 Sat 100% on O2  \nMotor – Gluc 4.1  \nDevelopments (depending on management)  \n1. Jaw thrust and/or lateral positioning / dependent positioning helps open the airway control. But, if the jaw thrust is removed, snoring resumes and O2 Sat. falls.  \n2. Gags if oropharyngeal airway is inserted. Tolerates nasopharyngeal airway.  \n3. Respiratory rate remains on the low side with poor ventilation. This can be controlled with jaw thrust/positioning and supported ventilation with bag-valve mask.  \n4. Will need definitive airway management if not improving or if trending down—which she is.  \n5. Delayed sequence intubation (DSI) is indicated (DSI = RSI but with good attention to pre-oxygenation and being well prepared).  \n6. Post intubation care (early recheck of vital signs, de","cbCaid5OqEsscx4n","https://ap.wps.com/l/cbCaid5OqEsscx4n","pdf",107589,"English","# General description\n## Included resources\n# Halva Glass background (read aloud at outset)\n## Initial vitals\n## Additional history (info given if participants ask)\n## Initial assessment\n## Repeat vitals\n# Developments (depending on management)\n## Developments continued\n# Learning opportunities","[{\"question\":\"What clinical signs indicate airway compromise in Halva Glass?\",\"answer\":\"The patient has snoring respirations, shallow breathing, and low oxygen saturation that improves when the airway is opened and oxygen is provided. Repeat vitals show worsening trends without airway control and improvement after intubation with effective oxygenation.\"},{\"question\":\"How does the scenario guide decision-making on intubation?\",\"answer\":\"It focuses on weighing the pros and cons of intubation and practicing safe airway management. The scenario highlights that intubation is needed if the patient is not improving or is trending down, and that delayed sequence intubation is indicated with good pre-oxygenation and preparation.\"},{\"question\":\"What key learning points are emphasized for airway management and team work?\",\"answer\":\"The document stresses correct insertion technique for oropharyngeal airways while watching for gag reflex, assisting ventilation to avoid gastric inflation, avoiding bagging when appropriate to reduce aspiration risk, and mitigating aspiration and hypotension risks. It also repeatedly reinforces early decision-making and team-based problem solving.\"}]","Adult Airway Scenario - Halva Glass - Scenario | PDF",1790148383,18]