Summary: Happy August Everyone! The ED is full of fun technology: ultrasounds, video laryngoscopes, the Playstation that’s supposed to be “just for sick children.” But there’s a whole group of toys that ED docs need to know how to work: the bipap vent and high flow nasal cannula. These toys can help optimize your airway before intubation or even replace intubation all together, in the right circumstance. But what are those right circumstances? Who is at risk failure? Can’t I just do whatever the respiratory therapists tells me to do? Never fear, Dr. Jarrod Mosier is here to explain how these new-fangled machines work and who you should be using them on. Don’t forget to take your screen shots and read up! The AZEMCast Team Peer Review by Dr. Raj Joshi and Dr. Ian Butler Email: aleetch@aemrc.arizona.edu Twitter: @arizonaemcast