CAP Module 1 Basic Airway Mechanics GHEMSVApril2015 What is the most common obstruction Soft Tissue Obstruction CAP Module 1 Basic Airway Mechanics GHEMSVApril2015 Soft Tissue Obstruction ID: 650220
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Slide1
CAP – Module 1Basic Mechanical Airways
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide2
What is the most common obstruction?
Soft Tissue Obstruction
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide3
Soft Tissue Obstruction
Objective
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide4
Concept – Sizing - Insertion
Nasal & Oral Airways
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide5
Concept:Soft RubberFunnel ProjectionBeveled EndEspecially Useful:Gag reflex still presentClenched Teeth
Nasopharyngeal Airway
20F to 36F
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide6
Appropriate Size:Nostril sizeSmallest fingerNose to ear lobe
Nasopharyngeal Airway
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide7
Lubricate !Insert along floor of nasal cavity
If resistance met, use back- and forth motion
Don’
t
Force - Use other
nostril
If
patient gags, withdraw slightly
Insertion
Nasopharyngeal Airway
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide8
Precautions:Basilar Skull FractureKink or ClogNasal DamageNose BleedsPt on Coumadin or PradaxaToo long vs. Too Short
Nasopharyngeal Airway
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide9
Concept: Rigid semicirclar device Follows the palate’s
curvatureHolds base of tongue away from posterior oropharynx
Oropharyngeal Airway
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide10
Measure: 6 - 8 Sizes 40mm Infant 50mm Pediatric (#0) 60mm Pediatric (#1) 70mm Small Adult (#2) 80mm Small Adult (#3) 90mm Med Adult (#4) 100mm Adult (#5) 110mm Large Adult (#6)
Oropharyngeal Airway
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide11
Insertion: Unconscious/No Gag Insert - “backwards”Rotate - 180 degrees as inserting
Oropharyngeal Airway
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide12
Precautions:Too Short = May not hold the tongue forwardToo Long = May press the epiglottis against the entrance of the larynx.
Oropharyngeal Airway
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide13
Procedure Notes:
Slow Rate
Slow Ventilation
Adult
(5)
Seconds
* Child
(4)
Seconds * Infant
(3)
Seconds
No O2 =
21%
O2 =
60-70%
Reservoir =
90-95%
B
ag
V
alve
M
ask
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide14
Seal + Pressure + Path
B
ag
V
alve
M
ask
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide15
Grays Harbor CountyAirway Management: General
Indications
Failure to
oxygenate
Failure to
ventilate
Failure to
protect
(the airway due to a decreased level of consciousness)
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide16
Grays Harbor CountyAirway Management: General
ALL
EMS PROVIDERS:
Head-tilt/Chin-lift or jaw thrust as appropriate
Oropharyngeal airway (OPA)
Nasopharyngeal airway (NPA)
Bag-valve-mask assistance
CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)Slide17
BLS Before ALS CAP Module 1 - Basic Airway Mechanics (GHEMS_VApril2015)