THE EMERGENCY AIRWAY

CHECKLIST TABLE 2 Intubation Checklist 1. Ensure ABC’s 2. Access airway 3. Prepare equipment 4. Patient at proper position 7. Scope inserted 8. Tube inserted 9. Confirm placement

CHECKLIST CONTINUED 10. Inflate bulb 11. Release cricoid pressure 12. Secure tube

NON INVASIVE TABLE 1 Noninvasive and Invasive Airway Techniques Non-invasive Airway Management • Nasal/Mask • Bag–Valve–Mask • CPAP/BIPAP

INVASIVE Invasive Airway Techniques ET Intubation

INVASIVE OTHER THAN INTUBATION DIGITAL, STILL AN OPTION IF TRAINED. EMERGENCY CRICH KITS

PREPARE ALL EQUIPMENT

CRICHOTHYROTOMY

CRICHOTHYROTOMY ANATOMY

ANATOMY

CRICHOTHYROTOMY INDICATIONS

CRICH INDICATIONS CONT.

MORE

CONTRAINDICATIONS

COMPLICATIONS

ONE STEP KITS!

SIMPLE AND QUICK

BREATHING RED FLAGS TENSION PNEUMOTHORAX FLAIL CHEST PULMONARY CONTUSIONS NUMEROUS RESPIRATORY FAILURES

TENSION PNEUMOTHORAX DIAGNOSIS IS CRITICAL. DO NOT WAIT FOR THE ER TO GET AN X-RAY. WATCH FOR NO BREATH SOUNDS. HYPOTENSION OR JVD.

FLAIL CHEST

CASE #2 RESPIRATORY FAILURE FROTHY SPUTUM JVD & EDEMA POX=66% CAN’T PROTECT AIRWAY TREATMENT?

CASE #3 60 YEAR OLD ALS PATIENT FOOD BOLUS STUCK IN POSTERIOR PHARYNX AND PRESSED INTO VOCAL CORDS. TREATMENT.