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AIRWAY MANAGEMENT

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. AIRWAY MANAGEMENT. OPEN THE AIRWAY. HEAD TILT CHIN LIFT.

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AIRWAY MANAGEMENT

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  1. 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 45-60mL 4 RED 5-6FT 60-80mL 5 PURPLE >6FT 70-90mL

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

  19. THE ADVANCED AIRWAYS • ET TUBES

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

  21. Intubation Kit

  22. 5 W’s of Intubation Things to keep in mind for intubation: • Who & When • What • Where • Why & How

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

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

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

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

  27. DIFFICULT AIRWAYS

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

  29. MALLAMPATI SCALE

  30. THE END

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