1. Conscious (gag reflex)
Airway Management
Conscious
(gag reflex)

2. BSI
Insert adjunct ( NP )
Select appropriate size
Measure
Lubricate
Fully inserts with bevel facing septum
Ventilate with BVM and room air

3. Attaches BVM to Oxygen
BSI
Assemble regulator to tank
Open tank
Check for leaks
Check tank pressure
Attach BVM to regulator
Deliver 12 to 15 Lpm
Ventilate at a rate of 10 to 20 bpm and a volume of at least 800 ml

4. Unconscious
( no gag reflex )

5. BSI
Open airway manually
Elevate tongue and insert adjunct OP
Select size
Measure
Insert
*Remove

6. Ventilate with BVM unattached to oxygen
Hyperventilate
Ventilations are without difficulty
Attaches BVM to Oxygen
BSI
Assemble regulator to tank
Open tank
Check for leaks
Check tank pressure
Attach BVM to regulator
Deliver 12 to 15 Lpm
Ventilate at a rate of 10 to 20 bpm and a volume of at least 800 ml

7. *After 30 seconds examiner / partner auscultates and reports clear and equal breath sounds bilaterally
Medical control orders insertion of a dual lumen airway
*Examiner / partner takes over ventilations

8. Directs partner to hyperventilate
Check and prepares airway device
Lubricates
Properly position head
Perform tongue-jaw lift
Insert
Inflate pharyngeal cuff and remove syringe
Inflate distal cuff and remove syringe

9. Always be prepared to………..
Confirm placement
Lung sounds
Abdominal sounds
If necessary change tubes
*Confirmed
Secure
Always be prepared to………..

10. Suction
Turn on / prepare
Assures presence of mechanical suction
Inserts suction tip without suction
Apply suction

11. Mouth to Mask
BSI
Connect one-way valve
Open airway
Manually
or confirm with adjunct
Ventilate at proper volume and rate
Connect to high concentration of oxygen
Adjust flow rate
Continue ventilating
*Must ventilate for at least 30 seconds