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AIRWAY MANAGEMENT

AIRWAY MANAGEMENT

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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