Airway Management

Conscious

(gag reflex)

• BSI

• Insert adjunct ( NP )

Select appropriate size

Measure

Lubricate

Fully inserts with bevel facing septum

• Ventilate with BVM and room air

• Attaches BVM to OxygenBSIAssemble regulator to tankOpen tankCheck for leaksCheck tank pressureAttach BVM to regulatorDeliver 12 to 15 Lpm

• Ventilate at a rate of 10 to 20 bpm and a volume of at least 800 ml

Unconscious

( no gag reflex )

• BSI• Open airway manually• Elevate tongue and insert adjunct• OP

BSISelect sizeMeasureInsert*Remove

• Ventilate with BVM unattached to oxygen• Hyperventilate• Ventilations are without difficulty• Attaches BVM to Oxygen

BSIAssemble regulator to tankOpen tankCheck for leaksCheck tank pressureAttach BVM to regulatorDeliver 12 to 15 Lpm

• Ventilate at a rate of 10 to 20 bpm and a volume of at least 800 ml

• *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

• 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

• Confirm placementLung soundsAbdominal sounds

• If necessary change tubes• Confirm placement

Lung soundsAbdominal sounds

• *Confirmed• Secure

Always be prepared to………..

Suction

• Turn on / prepare

• Assures presence of mechanical suction

• Inserts suction tip without suction

• Apply suction

Mouth to Mask• BSI• Connect one-way valve• Open airway

Manuallyor 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