Indiana Ems Commission Practical Exam Study - Non-Visualized Airway Device

Front 1

Step 1)

Back 1

BSI!

Front 2

Step 2)

Back 2

Manually open airway

Front 3

Step 3)

Back 3

Insert simple adjunct

Front 4

Step 4)

Back 4

Ventilate patient at rate of 10-12 per minute with visible chest rise and fall

(critical fail if you don't begin ventilations in 30 seconds, critical fail if you don't ventilate at at least 10 per minute, critical fail if no chest rise and fall)

(examiner will notify you once ventilation is being performed without difficulty)

Front 5

Step 5)

Back 5

(after examiner notifies you that ventilation is being performed without difficulty)

Attach oxygen to reservoir to bag-valve-mask device and connect to high-flow oxygen to regulator

(critical fail if you fail to provide high flow/concentration of oxygen)

(examiner will now direct you to insert a non-visualized airway)

Front 6

Step 6)

Back 6

Direct assistant to pre-oxygenate patient at rate of 10-20 per minute (or once every 3-6 seconds)

(critical fail if missed)

Front 7

Step 7)

Back 7

Check/prepare airway device

Front 8

Step 8)

Back 8

Lubricate distal tip of device

Front 9

Step 9)

Back 9

Position head properly

Front 10

Step 10)

Back 10

Perform tongue-jaw lift

Front 11

Step 11)

Back 11

Insert device in accordance with manufacturer's instructions

(critical fail if missed three times in a row)

Front 12

Step 12)

Back 12

Adequately inflate cuffs and remove syringes

(critical fail if missed)

Front 13

Step 13)

Back 13

Attach or direct attachment of BVM to the device and ventilate

Front 14

Step 14)

Back 14

Confirm placement and ventilation by observing chest rise, auscultation over epigastrium, and bilaterally over each lung

(critical fail if any components are missed)

Adjust device as necessary to ensure adequate chest rise and AVOID gastric ventilations!

Front 15

Step 15)

Back 15

Secure device or confirm that device remains properly secured

Front 16

What are the critical fails?

Back 16

1) Failure to initiate ventilations within 30 seconds, or any interruption in ventilations over 30 seconds

2) Failure to voice and provide high concentration oxygen

3) Failure to ventilate at a rate of at least 10 per minute

4) Failure to produce visible chest rise and fall

5) Failure to pre-oxygenate at 10-20 breaths per minute before insertion of non-visualized airway device

6) Failure to insert device properly within 3 attempts

7) Failure to inflate cuffs properly (remember to REMOVE the syringes or the cuffs will deflate)

8) Failure to confirm ventilations by observing chest rise, auscultating over epigastrium and bilaterally over each lung

9) Inserting adjunct in dangerous manner

Front 17

Can you list all fifteen steps in a row?

Back 17

1) BSI!

2) Open airway manually

3) Insert simple adjunct

4) ventilate at 10-12 breaths/minute

(examiner says that ventilation is being performed without difficulty)

5) Attach or direct attachment of BVM to adjunct and connect to oxygen at 100 percent, 15 lpm

(examiner tells you to insert non-visualized airway)

6) Direct assistant to pre-oxygenate patient at 10-20 breaths per minute

7) Check/prepare device

8) Lubricate distal tip of device

9) Position head properly

10) Perform tongue-jaw lift

11) Insert device

12) Inflate cuffs, remove syringes

13) Attach/direct attachment of BVM to device and ventilate

14) Confirm chest rise, auscultate over epigastrium and each lung

15) Secure device or confirm device is properly secure

Front 18

Good job!

Back 18

No... great job!