1. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson Airway Management 8

2. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson Scans Positioning the Patient for Basic Life SupportPositioning the Patient for Basic Life Support Inserting an Oropharyngeal Airway Inserting a Nasopharyngeal Airway Suctioning Techniques

3. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson Positioning the Patient for Basic Life Support

4. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (1) Straighten the legs and position the closer arm above the patient’s head.

5. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (2) Grasp under the distant armpit.

6. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (3) Cradle the head and neck, and move the patient as a unit onto his side.

7. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (4) Move the patient onto his back and reposition the extended arm.

8. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson Inserting an Oropharyngeal Airway

9. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (1) Ensure the oropharyngeal airway is the correct size by checking to make sure it either extends from the center of the mouth to the angle of the jaw or...

10. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (2) Measure from the corner of the patient’s mouth to the tip of the earlobe.

11. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (3) Use the crossed- fingers technique to open the patient’s mouth.

12. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (4) Insert the airway with the tip pointing to the roof of the patient’s mouth.

13. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (5) Rotate it 180 degrees into position.

14. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (5) When the airway is properly positioned, the flange rests against the patient’s mouth.

15. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson Inserting a Nasopharyngeal Airway

16. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (1) Measure the nasopharyngeal airway from the patient’s nostril to the tip of the earlobe or to the angle of the jaw.

17. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (2) Apply a water-based lubricant before insertion.

18. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (3) Gently push the tip of the nose upward, and insert the airway with the beveled side toward the base of the nostril or toward the septum (wall that separates the nostrils). Insert the airway, advancing it until the flange rests against the nostril.

19. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (4) Never force a nasopharyngeal airway. If you experience difficulty advancing the airway, pull the tube out and try the other nostril.

20. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson Suctioning Techniques

21. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (1) Turn the unit on, attach a catheter, and test for suction at the beginning of your shift.

22. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (2) Position yourself at the patient’s head and turn the patient’s head or entire body to the side.

23. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (3) Open and clear the patient’s mouth.

24. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (4) Place the convex side of the rigid tip against the roof of the mouth. Insert just to the base of the tongue.

25. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (5) Apply suction only after the rigid tip is in place. Do not lose sight of the tip while suctioning. Suction while withdrawing the tip

26. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Emergency Care, Twelfth Edition Limmer O’Keefe Dickinson (5) If you are using a flexible catheter, measure it from the patient’s earlobe to the corner of the mouth or from the center of the mouth to the angle of the jaw.