Flashcards in Airway and Alertness Deck (26):
What are the components of the primary assessment?
A, B. C, D and E
What does "A" stand for?
A - airway and alertness
How do you assesses for alertness?
A - alert
V - responds to verbal stimuli
P - responds to painful stimuli
U - unresponsive
When will the pt be able to maintain his/her airway?
If pt is alert and airway is clear
When should you consider the airway comprimised?
If pt responds to only verbal/pain stimuli or is unresponsive.
Until when should you suspect a cervical spine injury (CSI)?
- until Glasgow Coma Scale Score is 15 and evaluated by physician
- cleared by radiography or CT
How can the cervical spine alignment and protection be maintained?
- manual stabilization
When do you remove the spine board?
when a spinal cord injury has been has been ruled out
How do you remove a helmet?
- two people
- one person that provides manual stabilization
- one person that removes helmet
How do you inspect an airway?
- alert - ask pt to open mouth
- if pt unable to open mouth, responds to verbal/painful stimuli or is unresponsive - suspect CSI and have two people perform the jaw-thrust procedure
What do you inspect the airway for?
- tongue obstructing airway
- loose/missing teeth
- foreign object
- blood/vomit, secretions
- burns/evidence of inhalation injury
What do you auscultate the airway for?
obstructive airway sounds - snoring, gurgling, stridor
What do you palpate the airway for?
- maxillofacial bony deformity
- subcutaneous emphysema
How do you assess for proper placement of the airway device?
- adequate rise/fall of chest with assisted ventillation
- absence or gurgling over epigastrum
- bilateral breath sounds
- presence of CO2 verified by CO2 detector
What do you do after you assess/confirm placement of airway device?
move to next step of the primary survey
What can the pt do if he/she is awake and airway is patent?
assume position to that facilitates breathing
What do you do if the airway is not patent?
- suction airway
- airway adjunct (naso/oropharyngeal airway)
- definitive airway (endotracheal intubation)
What do you not want to stimulate when suctioning?
What type of device is used to suction blood, vomit or other secretions?
rigid suction device
How do you remove a foreign body?
forceps or another appropriate method
If suctioning does not relieve airway, what could be the cause of obstruction?
What should you consider if airway is obstructed after suctioning?
nasopharyngeal or oropharyngeal airway
When can a nasopharyngeal be used?
pt is conscious or unconscious
When can a oropharyngeal be used?
pt is without a gag reflex
What is a definitive airway?
a tracheal tube securely place in the trachea with the cuff inflated