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EmtMgmtAirBreath - Management of Airway and Breathing...

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Temple College EMS Program 1 Management of Airway and Breathing Emergency Medical Technician - Basic
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Temple College EMS Program 2 Airway Functions Passage that allows air to move from atmosphere to alveoli Must remain patent (open) at all times Anything that blocks airway will cause decrease in oxygen available to body Size of obstruction affects available air exchange
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Temple College EMS Program 3 Opening the Airway Techniques Head-tilt/Chin-lift Jaw Thrust Suctioning Nasopharyngeal airway Oropharyngeal airway
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Temple College EMS Program 4 Head-Tilt/Chin-Lift Used when no neck injury is suspected Temporary procedure Must be replaced with an airway adjunct unless patient begins adequate spontaneous ventilation
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Temple College EMS Program 5 Head-Tilt/Chin-Lift Technique Place one hand on patient’s forehead Apply firm, backward pressure with palm causing head to tilt backward Place fingers of other hand under bony part of patient’s lower jaw near chin Lift jaw upward to bring chin forward
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Temple College EMS Program 6 Head-Tilt/Chin-Lift Patients needing head-tilt/chin-lift Unresponsive patient without history of trauma Cardiac arrest patients without signs of trauma Apneic patients without signs of trauma
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Temple College EMS Program 7 Jaw Thrust Used when spinal injury suspected Temporary procedure Must be replaced with airway adjunct unless patient begins adequate spontaneous ventilation
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Temple College EMS Program 8 Jaw Thrust Technique Place one hand on either side of patient’s head, resting elbows on surface on which victim is lying Grasp angles of patient’s lower jaw, lift with both hands If patient’s lips close, retract lower lips with thumbs
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Temple College EMS Program 9 Jaw Thrust Patients needing jaw thrust Unresponsive trauma patient Unresponsive patient with undetermined mechanism of injury
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Temple College EMS Program 10 Suctioning Purpose Remove blood, vomit, other liquids, food particles from airway May not be adequate for removing large, solid objects (teeth, foreign bodies, food) Should be performed immediately when gurgling is heard with spontaneous or artificial ventilation
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Temple College EMS Program 11 Suctioning Suction devices Mounted in ambulance Portable Electrical Hand operated Should generate 300mm Hg vacuum Ensure batteries in units remain properly charged
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Temple College EMS Program 12 Suctioning Rigid Suction Catheter Used to suction mouth, oropharynx of unresponsive patient Inserted only as far as you can see Take caution not to touch back of airway, particularly in infants and children (can cause heart rate to drop)
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Temple College EMS Program 13 Suctioning Soft Suction Catheter Useful for suctioning nasopharynx or tracheostomy tubes Should be inserted only as far as base of tongue or end of tracheostomy tube
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Temple College EMS Program 14
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