Airway Management & Ventilation Eca Yas

Front 1

What level can an airway obstruction occur at

Back 1

The nose and mouth to the level of the Bronchi

Front 2

What are some causes of airway obstruction

Back 2

Blood, vomit, foreign bodies, laryngeal spasm

Laryngeal obstruction by odema from burns, inflammation or anaphylaxis

Excessive bronchial secretions, bronchospasm, pulmonary oedema

Front 3

What types of obstructions are there

Back 3

Partial or complete

Front 4

How to check for breathing?

Back 4

Look, Listen and feel

Front 5

Complete airway obstruction is

Back 5

Silent and there is no airway movement at the patients mouth and nose

Front 6

In partial airway obstruction, air entry is diminished and usually noisy

Back 6

Stridor - caused by partial obstruction at laryngeal level or above

Expiratory wheeze - suggests obstruction of lower airways

Gurgling - suggest presence of liquid/semisolid material in upper airway

Snoring- pharynx is partially occluded by the tongue or palate

Front 7

How is foreign body airway obstruction characterised

Back 7

Sudden onset of respiratory distress associated with coughing, gagging and stridor

Front 8

What is number 1

Back 8

Ineffective cough

Front 9

What is number 2

Back 9

Start CPR

Front 10

What is 3&4?

Back 10

5 back blows & 5 abdominal thrusts

Front 11

What is 5?

Back 11

Effective Cough

Front 12

What is 6

Back 12

Continue to check for deterioration to ineffective cough or until obstruction relieved

Front 13

What is 1?

Back 13

Ineffective cough (p)

Front 14

What is 2?

Back 14

Open airway

5 breaths

Start CPR

Front 15

What is 3?

Back 15

5 back blows

5 thrusts

(Chest for infant)

(Abdominal for child >1yr)

Front 16

What is 4?

Back 16

Effective cough (p)

Front 17

What is 5?

Back 17

Continue to check for deterioration to ineffective cough or until obstruction relieved (p)

Front 18

What is ACVPU

Back 18

Alert

Confusion

Voice

Pain

Unresponsive

Front 19

What is your initial assessment when attending a job

Back 19

SCENE assessment

How does the patient look

How responsive is the patient

Front 20

How do you inspect the oropharynx?

Back 20

Using a cross finger technique

Front 21

If the airway is not clear what should you do?

Back 21

1) suction or postural drainage for fluids

2) Finger sweep for solids

Front 22

When should a soft-tip catheter suction be used

Back 22

For suctioning paediatric patients & during transport

Front 23

When using the soft tip catheter how should you measure it

Back 23

From the corner of the mouth to the ear lobe

Front 24

How long should you suction an adult for

Back 24

10 second intervals

Front 25

Can the patient maintain their own airway - NO - what is the simple airway manoeuvre?

Back 25

Head tilt, chin lift / jaw thrust

If c-spine suspected injury - jaw thrust only

Front 26

Whilst keeping the airway open you should check for signs of life; are they breathing? Can you feel a carotid pulse NO. You should:

Back 26

Commence CPR and attach the defib/AED as soon as available

Front 27

Has the simple airway manoeuvre restored breathing? NO then what should you do?

Back 27

Insert airway adjunct - OPA or NPA

Front 28

How do you size an OPA?

Back 28

The length should be vertical distance between the patients incisors and the angle of the jaw

Front 29

How do you insert an OPA?

Back 29

Invert, insert, rotate and locate

Front 30

When can you use an NPA

Back 30

When the patient is not deeply unconscious

In the presence of trismus or oral trauma

Front 31

How to size an NPA

Back 31

Diameter of PT nostril and pick similar size

Measured from the tip of the nose to the tragus of the ear

Front 32

How to insert NPA

Back 32

Lightly lubricate, insert perpendicular to the face into the right nostril

Advance using a gentle twisting motion until the flange is level with nostril

Front 33

When are NPAs contraindicated?

Back 33

History of reoccurring nose bleeds

Nasal polyps

Pt’s who cannot tolerate the NPA

Children under 12 (adenoids)

Front 34

When assessing the patients breathing what should you look for

Back 34

The rate, depth & adequacy ( chest expansion & accessory muscle use)

Front 35

When should you use assisted ventilation

Back 35

Respiratory rate <10 or >30 breaths per minute

Inadequate chest expansion

O2 sats less than 90% on high flow oxygen

Front 36

When using the BVM at what rate should it be done?

Back 36

10 breaths per minute

Front 37

What should you look for when using the BVM

Back 37

Adequate rise and fall of the chest