by Denny Clishe EMT-BIV and Ron Peters RN

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Presentation transcript:

by Denny Clishe EMT-BIV and Ron Peters RN AIRWAY MANAGEMENT by Denny Clishe EMT-BIV and Ron Peters RN

AGENDA Airway anatomy and function Airway adjuncts King Tube ET Tube Advanced and difficult airways

AIRWAY ANATOMY

UPPER AIRWAY

LOWER AIRWAY

AIRWAY MANAGEMENT NOW WHAT!?

AIRWAY MANAGEMENT OPEN THE AIRWAY

HEAD TILT CHIN LIFT IF TRUAMA IS NOT SUSPECTED

JAW THRUST IF TRUAMA IS SUSPECTED MAINTAIN SPINE IN NEUTRAL POSITION

ADJUNCTS

OPA IF PATIENT DOES NOT HAVE GAG REFLEX MEASURE FROM CORNER OF MOUTH TO BASE OF EAR BE CAREFUL NOT TO DAMAGE SOFT TISSUE

OPA

NPA FOR PATIENTS WITH GAG REFLEX MEASURE FROM NOSTRIL TO BASE OF EAR AS IN LIFE: LUBE THE POLE, NOT THE HOLE, PRIOR TO INSERTION

NPA

KING LT(S)-D THE KING LT(S)-D IS A DISPOSABLE SUPRAGLOTTIC AIRWAY WITH GASTRIC ACCESS

KING LT(S)-D

KING LT(S)-D SPECS SIZE COLOR PT Ht CUFF INFLATION 3 YELLOW 4-5FT 45-60mL 4 RED 5-6FT 60-80mL 5 PURPLE >6FT 70-90mL

KING LT(S)-D PLEASE REVIEW OUR PROTOCOLS FOR THE KING LT(S)-D

THE ADVANCED AIRWAYS ET TUBES

ET - TUBE CHECK LIST: ETT of proper size Syringe to inflate balloon Laryngoscope Two ways to confirm placement Twill tape BVM Alternate airway

Intubation Kit

5 W’s of Intubation Things to keep in mind for intubation: Who & When What Where Why & How

Who and When Patients who cannot maintain or protect their airway Hypoxic or apneic patients

What Simply placing a tube into the Pt’s trachea to provide ventilation Easier said than done. Anatomy (tongue, epiglottis, vomit..)

Where On the cot, in a car, dimly lit, on the floor, in the rain.. Is the Pt wearing a C-Collar

Why and How Why is easy: To oxygenate the Pt How: Doing things the easiest, safest and most efficient way possible

DIFFICULT AIRWAYS

DIFFICULT AIRWAYS TRUAMA BLOOD FOREIGN BODY AIRWAY OBSTRUCTIONS MUCOUS MALLAMPATI SCALE

MALLAMPATI SCALE

THE END