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Airway Management

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Airway Management You Are the Emergency Medical Responder As border security in the immediate vicinity and trained as an emergency medical responder (EMR), you ... – PowerPoint PPT presentation

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Title: Airway Management


1
Airway Management
2
You Are the Emergency Medical Responder
Lesson 15 Airway Management
  • As border security in the immediate vicinity and
    trained as an emergency medical responder (EMR),
    you respond to a call at one of the docks for an
    unconscious adult who collapsed for no apparent
    reason. You size-up the scene and notice that a
    middle-age male is lying prone on the floor and
    not moving. You discover that the patients chest
    does not rise when you attempt ventilations.

3
Suctioning
  • Process of removing foreign matter, such as
    mucus, fluid or blood, from a patients upper
    airway
  • Two types of devices
  • Mechanical electrically
  • powered
  • Manual hand powered
  • no energy source
  • Use of sterile suction catheters of appropriate
    size

4
SuctioningClear Victims Airway
  • Steps for Suctioning
  • Turn head to side or roll body if head, neck, or
    back injury suspected
  • Open victims mouth
  • Sweep large particles of debris out of the mouth
  • Measure distance of insertion (earlobe to corner
    of mouth)
  • Insert suction device into back of mouth and
    suction on the way out
  • No more than -
  • Adults 15 sec Child 10 sec Infant 5 sec

5
Airway Adjuncts
  • Mechanical airway adjuncts
  • Oral (Oropharyngeal)
  • airways (OPAs)
  • Nasal (Nasopharyngeal) airways (NPAs)
  • They keep the tongue (the most common cause of
    airway obstruction) away from the back of the
    throat.
  • OPAs are only for unconscious, unresponsive
    patients with no gag reflex

6
Inserting An Oral Airway
  • Select airway or proper size
  • Victims earlobe to corner of mouth
  • Open victims mouth using a crossed finger
    technique
  • Insert airway with curved end along roof of mouth
  • Advance airway gently until resistance is felt
  • Rotate airway ½ turn
  • Flange should rest on lips

7
Nasal Airway
  • Uses
  • Conscious, responsive patient
  • Unconscious patient
  • Contraindications for use
  • Suspected head trauma
  • Suspected skull fracture
  • Lubrication of airway with water-soluble
    lubricant is necessary
  • Insertion with bevel of airway toward septum

8
Inserting a Nasal Airway
  • Select airway of proper size
  • Measure from victims earlobe to tip of nose
  • Lubricate nasal airway
  • (K-Y jelly or other water based lubricant)
  • Insert nasal airway into right nostril with bevel
    toward MIDDLE of nose
  • Advance airway gently, until flange rests on nose

9
Airway Obstructions
  • Anatomical obstruction from?
  • The tongue
  • Swollen tissues of the mouth, tongue or throat
  • Mechanical obstruction from?
  • Foreign objects, such as food or toys
  • Fluids, such as vomit

10
Foreign Body Airway Obstruction (FBAO)
  • Universal sign a conscious person who is
    clutching the throat
  • Mild or partial FBAO
  • Ability to move some air to and from the lungs
  • Forcibly coughing, which is encouraged
  • Severe FBAO
  • Inability to cough, speak, cry or breathe
  • Immediate action is necessary

11
Measures to Relieve FBAO
  • Conscious patient
  • Continued forcible coughing
  • Back blows
  • Abdominal thrusts (adults and children)
  • Chest thrusts (for infants, pregnant women and
    patients too large to reach around)
  • Unconscious patient
  • Chest compressions
  • Finger sweep if object is visible in the mouth

12
Scenario
  • While attending a picnic, you notice that a
    4-year-old boy begins coughing very forcibly
    while eating a hot dog. His mother appears
    frantic and begins shouting for help. As a
    trained EMR, you respond to the mothers call for
    help.

13
You Are the Emergency Medical Responder
  • You reposition the patients airway and attempt
    2 ventilations, but the chest still does
    not rise.

After a few minutes of care, the patients chest
begins to rise and fall with the ventilations,
but he is not breathing on his own.
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