The tape measure is a tool we should all consider adding to our tool belts or airway carts. Here’s why!

Are all modes of non-invasive positive pressure ventilation (NIPPV) created equal for the treatment of acute cardiogenic pulmonary edema?  Perhaps not.

You are intubating a sick patient in the ED via direct laryngoscopy. After opening the airway, sweeping the tongue with your blade, inserting into the vallecula, and lifting at the precisely correct angle your eyes behold....well...not the vocal cords! Maybe the arytenoid cartilages if you're lucky (aka Cormack Lehane 3 or 4 view). But wait, you aren't finished yet! You reach into your back pocket and remove your trusty bougie...