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

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

3. AIRWAY ANATOMY

4. UPPER AIRWAY

5. LOWER AIRWAY

6. AIRWAY MANAGEMENT
NOW WHAT!?

7. AIRWAY MANAGEMENT
OPEN THE AIRWAY

8. HEAD TILT CHIN LIFT
IF TRUAMA IS NOT SUSPECTED

9. JAW THRUST
IF TRUAMA IS SUSPECTED
MAINTAIN SPINE IN NEUTRAL POSITION

10. ADJUNCTS

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

12. OPA

13. 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

14. NPA

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

16. KING LT(S)-D

17. KING LT(S)-D SPECS SIZE COLOR PT Ht CUFF INFLATION
3 YELLOW 4-5FT mL
4 RED 5-6FT mL
5 PURPLE >6FT mL

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

19. THE ADVANCED AIRWAYS
ET TUBES

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

22. Intubation Kit

23. 5 W’s of Intubation Things to keep in mind for intubation: Who & When
What
Where
Why & How

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

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

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

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

28. DIFFICULT AIRWAYS

29. DIFFICULT AIRWAYS TRUAMA BLOOD FOREIGN BODY AIRWAY OBSTRUCTIONS MUCOUS
MALLAMPATI SCALE

30. MALLAMPATI SCALE

31. THE END