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The question as to why another airway algorithm has been developed is justified. With the existence of the major airway algorithms of Ron Walls, the ASA Difficult Airway Algorithm, The European Resuscitation Council Flow Chart for Advanced Management of the Airway and Ventilation and the recently published Difficult Airway Society guidelines for management of the unanticipated difficult intubation it would appear the bases are covered.

Each algorithm provides a valid scheme for management of the airway but each was devised primarily for a particular group of practitioners. In contrast, the SLAM Universal Emergency Airway Flowchart can be used by a wide range of airway practitioners including those working in prehospital care, anesthesiology, emergency medicine and pulmonary medicine. The flowchart was devised to assist in the teaching of emergency airway management, the acquisition of critical decision-making skills and the improvement of patient care in terms of airway management. The SLAM Universal Emergency Airway Flowchart fulfils a dual role by being both an algorithm for the difficult airway and the emergency airway. It helps in overcoming and preventing difficult airway situations by offering practical methods to modify failed intubation attempts. It serves as an emergency airway algorithm by providing the practitioner with clinical guidance on: 1) when tracheal intubation is appropriate, 2) when to stop attempting tracheal intubation or 3) when to undertake rescue ventilation.

I hope that you find the SLAM Universal Emergency Airway Flowchart useful. I welcome all your comments and feedback. Please feel free to email them to me at slamquestion@gmail.com.

The SLAM Flowchart:
Winner of the NYSSA 2003 Best Exhibit for Clinical Application

James M. Rich, CRNA, MA accepts the 2003 Best Exhibit for Clinical Application award from Andrew Rosenberg, M.D. of the New York State Society of Anesthesiologists (NYSSA) at the NYSSA's 57th Postgraduate Assembly of Anesthesiologist in New York City on December 15, 2003.

To view the SLAM Flowchart, you agree to the following statements:

1. The SLAM Universal Emergency Airway Flowchart is offered without cost for educational purposes.
2. The SLAM Universal Emergency Airway Flowchart is the exclusive property of James M. Rich, CRNA.
3. The SLAM Universal Emergency Airway Flowchart is protected by the copyright laws of the United States and other countries.
4. The owner is not responsible for any flowchart applications that are applied by the flowchart user.
5. The user is responsible for all applications of the flowchart and does so at his/her risk and indemnifies the flowchart owner from any inappropriate, incorrect or off-label use of the flowchart.
6. No reproduction of the flowchart is permitted without first receiving written permission from the owner.
7. Written permission may be requested by writing to: slamquestion@gmail.com.

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