SLAM Rescue Airway Flowchart

Flowchart Information


Flowchart Developer


Flowchart Overview


Information about the SLAM Rescue Airway Flowchart

The SLAM Rescue Airway Flowchart - A 21st Century Guide for Airway Practitioners

If Your Patient Can't Breathe - Nothing Else Matters!


Decisions you make during the course of airway management will probably be the most important of your career in healthcare.
Breathing is the Key - Education is the Answer!

  • The best money you will ever spend on an airway management resource.
  • The 11x17 inch flowchart is laminated and
  • Can be posted on any flat surface in a building or ambulance.
  • It also rolls up nicely so it can be stuffed in a go-bag.
  • Whether you are a seasoned practitioner or new to the field it can improve patient safety and outcomes. 

Use the SLAM Rescue Airway Flowchart to improve your critical decision-making skills

The flowchart contains vital color-coded information on:

  • Indications for Tracheal Intubation, Controlled ventilation; Rescue Ventilation
  • Airway Anatomy & Assessment: 6-D Method
  • Use of the AVPU Scale and SpO2 to assess for a Crash Airway
  • Equipment Preparation Check List
  • Bougie-Assisted Intubation / External Laryngeal Manipulation / Ear-to-Sternal Notch Position / Bimanual Laryngoscopy
  • Drugs for Airway Management
  • Rapid Sequence Intubation (RSI) Protocol
  • Delayed Sequence Intubation (DSI) Protocol and Apneic Oxygenation
  • Post Intubation Management
  • Difficult Intubation Options
  • Rescuing Failed Intubation and Failed Intubation Drill
  • C-Spine Protection Protocol
  • Safe Endotracheal Tube Exchange Protocol
  • Protocol for Reversal of Muscle Relaxants and Tracheal Extubation

SLAM Rescue Airway Flowchart Overview

Street Level Airway Management (SLAM) is a system of teaching basic and advanced airway management skills that are useful regardless of where emergency or difficult airway management occurs. The system is based on the SLAM Concept, which focuses on clinical competency, education & training and patient safety.  Most airway techniques used in anesthesiology can be applied to a variety of areas where emergency airway management is performed by practitioners outside the operating room and hospital.


The question as to why another airway algorithm has been developed is justified. Other major algorithms provide valid schemes for management of the airway but are intended for particular groups of practitioners (usually hospital-based physicians). However, difficult airway situations can occur across the entire spectrum of healthcare for any provider including physician, nurse, anesthesiologist, paramedic, or other EMS providers. The SLAM Flowchart is intended for all practitioners, and especially for EMS.


The SLAM Flowchart presents clear strategies for enabling the practitioner to effectively deal with a wide range of emergency airway situations occurring where ever airway management is taking place.


The SLAM Flowchart provides easy reference and instruction for:

  • practitioners with critical decision-making schemes in emergency airway management.
  • clear and comprehensive strategies for prevention, rapid recognition, and treatment of critical airway events, especially those occurring in the pre-hospital and non-operating room hospital environments.
  • clinical guidance on: 1) when tracheal intubation is appropriate, 2) when to stop attempting tracheal intubation, and 3) when to undertake rescue ventilation.
  • how to detect a Crash Airway.
  • the use of simple techniques to rescue failed intubation.
  • the use of approved supraglottic airway devices for rescue ventilation.
  • the evidence-based criteria for selection of adjunctive devices to confirm tracheal intubation.
  • a full list of airway definitions is included.
  • critical principles and concepts for success in airway management.

The 11X17 inch flowchart is laminated and suitable for posting on any flat surface in a building or ambulance.  It also rolls up nicely and can be stuffed in a go-bag.  Please click the link below to purchase the flowchart.  It is the best $25 you can spend for airway management training whether you are a seasoned practitioner or new to the field.  The price includes shipping and handling.  

SLAM Rescue Airway Flowchart Developer

James M. Rich, CRNA, MA

James M. Rich developed the SLAM Airway Conferences based on his SLAM Concept and the SLAM Flowchart. He is the founder and director of the SLAM Airway Training Institute, a private institute dedicated to patient safety, education and training, and clinical competency in airway management. Since the inception of the Institute and the SLAM Emergency Airway Conferences in 1999, thousands of people have been trained in emergency airway management using the concepts contained in the SLAM Flowchart.


James Rich, CRNA being awarded the Best Exhibit for Clinical Application at the 57th Post Graduate Assembly of the New York State Society of Anesthesiologists in New York City on December 13, 14, & 15, 2003. On December 12 & 13, 2013 the Flowchart was one of only two scientific exhibits to receive an award.  The SLAM Rescue Airway Flowchart was awarded “Best Educational Exhibit” at the 69th Post Graduate Assembly in New York City.