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by Denny Clishe EMT-BIV and Ron Peters RN

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

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AIRWAY ANATOMY

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UPPER AIRWAY

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LOWER AIRWAY

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AIRWAY MANAGEMENT NOW WHAT!?

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AIRWAY MANAGEMENT OPEN THE AIRWAY

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HEAD TILT CHIN LIFT IF TRUAMA IS NOT SUSPECTED

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JAW THRUST IF TRUAMA IS SUSPECTED MAINTAIN SPINE IN NEUTRAL POSITION

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ADJUNCTS

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

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OPA

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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

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NPA

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

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KING LT(S)-D

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SIZE COLORPT HtCUFF INFLATION 3 YELLOW4-5FT45-60mL 4 RED5-6FT60-80mL 5 PURPLE>6FT70-90mL

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

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THE ADVANCED AIRWAYS ET TUBES

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

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Intubation Kit

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5 Ws of Intubation Things to keep in mind for intubation: Who & When What Where Why & How

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

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

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

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

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DIFFICULT AIRWAYS

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TRUAMA BLOOD FOREIGN BODY AIRWAY OBSTRUCTIONS MUCOUS MALLAMPATI SCALE

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THE END