Mod D Tech 24 Airway management Assisting the Paramedic Flashcards Preview

Technician Course MOD D 2016 > Mod D Tech 24 Airway management Assisting the Paramedic > Flashcards

Flashcards in Mod D Tech 24 Airway management Assisting the Paramedic Deck (11):
1

Airway management

Key Tasks (1)

•Clearing the airway of any obstructions & maintaining adequate oxygenation as directed

•Preparation of equipment required for endotracheal intubation

•Application of Cricoid Pressure, as required

•Assisting in the manipulation of the larynx, as required

•Assisting in the positioning or the re-positioning of patients where necessary

•Securing Endotracheal Tubes/Laryngeal Mask Airways / I-Gels

•Monitoring of the patient’s airway/condition, continually notifying any changes to the clinician immediately

 

2

Airway management must be what?

Airway management must be rapid and effective

Stepwise airway management employs a series of increasingly complicated manoeuvres to open and maintain the airway, used in stepwise order, the simplest and most rapidly applied first

3

Airway Adjuncts

for Technician

•Oropharyngeal Airway

•Nasopharyngeal Airway

•I-Gel

4

Manual methods of Airway Control

•Head tilt / Chin lift

•Trauma jaw thrust

•Suction / manual clearance

•Recovery Position

5

Endotracheal Intubation

equipment

•Bag & Mask

••Oxygen

••Laryngoscope with spare bulb and batteries

•Magill forceps

•Suction equipment

•Lubrication gel and gauze swabs

••Endotracheal tube

••20ml syringe

••Spencer Wells Forceps

••Oropharyngeal airway

•Thomas ET Tube holder or ribbon gauze or tape for securing the tube

••Bougie / introducer

••Catheter mount and tubing

••Stethoscope

A image thumb
6

Cricoid Pressure

Sellick’s Manoeuvre

•Often gets confused with Laryngeal pressure – if in doubt ask the clinician what it is they want

•To occlude airway and reduce the risk of regurgitation

Remember to remove pressure and stand clear if pt is about to vomit –   risk of oesophageal rupture

A image thumb
7

Laryngeal Pressure (BURP)

Backwards

Upwards

Right

Pressure

  To aid in laryngoscopy improving visualisation of larynx / glottic opening

8

Needle Cricothyroidotomy

Equipment:

Equipment:

•14G cannula with 10ml syringe attached

••Oxygen tubing

••Oxygen supply with ability to deliver 10 – 15 l/min flow

••Equipment to regulate oxygen flow. (May be substituted by a hole cut into the tubing)

9

Needle Thoracocentesis should only done when

•Should only be performed in the presence of convincing signs of a tension pneumothorax

 

•The need for emergency decompression of the chest is rare

10

Needle Thoracocentesis

In a non ventilated patient:

•Severe and increasing breathlessness (>30 / min)

•Decreased or absent breath sounds on one side of the chest

•Reduced chest movement or over-expanded chest on the affected side

•Distended jugular veins (if not hypovolaemic)

•Tachycardia

•Shocked

•Reduced SaO2  (often < 85%)

•Hyperresonance on affected side

•Deviated trachea (late sign)

Cyanosis (late sign)

11

Needle Thoracocentesis Method 1

•Ensure adequate ventilation with 100% O2

•Expose the chest

•Clean the skin over the 2nd intercostal space in the mid-clavicular line

•Connect a 10ml syringe to a 14G – 16G cannula

•Insert at a 90° angle

•Withdraw air as you advance, until free flow of air enters the syringe

•Advance cannula and remove syringe and needle to allow a rush of air out of the chest

Method (2)

•Secure cannula with tape

•DO NOT refit cannula cap – leave open to the air

•Listen to the chest and reassess the patient

•Connect ECG and Pulse Oximeter

•LOAD and GO

Pre alert the hospital