SMACC Airway 2015 SMACC US Airway Workshop Question Title * 1. Are you coming to the SMACC US Airway workshop as a FACULTY or ATTENDEE? Faculty Attendee Other (please specify) Question Title * 2. What LOCATION do you practice in? Africa Australia Continental Europe Latin America Canada Ireland US UK Asia New Zealand Other (please specify country- sorry for not including your country-) Question Title * 3. In what SPECIALTY do you primarily practice? Intensive Care Prehospital Surgery Anesthesia Emergency Medicine Other (please specify -Sorry I didn't include you-) Question Title * 4. Please describe your TRAINING Paramedic Doctor Nurse Other (please specify) Question Title * 5. In the last YEAR, how many times have you inserted a SUPRAGLOTTIC AIRWAY (LMA, AirQ, AuraGel, Combitube, King LT etc.) on a patient? 0 1-5 6-20 21-100 >100 Other (please specify) Question Title * 6. In the last YEAR, how many times have you performed DIRECT LARYNGOSCOPY on a patient? 0 1-5 6-20 21-100 >100 Other (please specify) Question Title * 7. In the last YEAR, how many times have you performed AIRWAY ENDOSCOPY (nasoendoscopy, bronchoscopy, flexible fiberoptic intubation, etc.) on a patient? 0 1 2-5 6-20 >20 Other (please specify) Question Title * 8. In the last YEAR, how many times have you performed AWAKE INTUBATION (fiberoptic, video laryngscopy, direct laryngoscopy, etc.) on a patient? 0 1 2-5 6-20 >20 Other (please specify) Question Title * 9. In your LIFETIME, how many times have you performed an EMERGENT SURGICAL AIRWAY on a patient? 0 1 2 3-5 >5 Other (please specify) Question Title * 10. Which workshop are you most looking forward to? Airway Simulation Nasal Endoscopy Surgical Airway SupraGlottic Airways and Laryngoscopy Other (please specify) Question Title * 11. How much "PRE-READING" have you done in preparation for the course? None Looked through the #SMACCAirway (www.thesharpend.org/smaccchicago-airway-workshop/) website for some brief tips Completed some or all of the online Essential Emergency Airway Care Course (www.thesharpend.org/eeacc/) Other (please specify) Question Title * 12. Optional: Briefly describe your most interesting/challenging/informative AIRWAY CASE for us to present to our "expert" faculty for group discussion. Done