Airway Management Research Paper

Airway management is a vital part of the job of an Emergency Medical Technician (EMT). The airway is the first thing an EMT must assess in all patients, with the exception of arterial bleeding. Improper, or lack thereof, management of the airway will kill a patient; therefore EMTs must master management of the airway, for fear of dire consequences if done incorrectly. The purpose of the airway is to remove carbon dioxide and transport oxygen to the blood.

After assessing the victim?s airway, now you should check for breathing. To check for breathing, place your ear over the mouth looking toward the chest. This will allow you to listen for air movement, feel for air movement on your cheek, and look for chest rise. If the victim is breathing adequately, you should roll him or her on their left side. By doing so this puts them in the recovery position and permits him or her to breathe adequately. This also prevents aspiration if the victim vomits. If the victim is not breathing, give two breathes, watching for chest rise. Give breathes over a second, wait a second, then give another breathe. While doing so, you should not hyperventilate the victim.

Jane’s asthma was acute severe. Initially to alleviate some of Jane’s breathlessness she was sat up right in the bed and supported with pillows to improve air entry. Due to her low oxygen saturations she was placed on 40% oxygen via Hudson mask (BTS 2006), as Jane was mouth breathing the mask was the appropriate device to use to ensure adequate oxygenation (Walsh 2002). According to Inwald et al (2001) hypoxemia is frequently a primary cause in numerous asthma related deaths. By administering oxygen promptly, for acute severe asthma, serious hypoxemia

When patients experience difficulty in breathing and need assistance, who would be there running to save them? Who’s got their back? Well, it’s none other than the mighty health care professionals who has the so-called Indian name: RUNS WITH AMBU BAG  or better known as respiratory therapists. It may sound funny but it’s true. These individuals are always ready when emergency situations arise.

The key concept underpinning the role of the anaesthetic nurse in an unanticipated difficult intubation as part of the multidisciplinary theatre team is essential; as a lead provider of compassionate anaesthetic care (Fynes et al, 2014), as a communicator, have the courage to advocate, be competent and committed (DOH, 2012). These are very important for enhancing patient anaesthetic care and improving patient safety (NPSA, 2010). And above, to improve the knowledge and skills by continuous training is vital in the event of a difficult intubation in adults, pregnant women and children (Brien and Conlon, 2013; Clark and Nolan, 2010). The incident confirms that to improve airway management, especially in the event of a difficult intubation planning, training and practising (such as in simulation centres) for the unanticipated difficult airway for the anaesthetist, anaesthetic nurse and theatre staff as a whole, is vital and it highlighted that our practice around managing the airway needs to be improved and constantly updated (Mellanby, Podmore and McNarry, 2014), and that is why I have applied to take part in the new airway simulation training

One of the most important things to maintain a trauma patients airway is ensuring that you have adequate help around (Stephens, 2011). This is important because there are many different tasks that must be delegated in maintaining this persons airway. Some of these processes include opening the airway, suctioning the airway, inserting the proper adjunct, and maintaining

At various stages of asthma, preventative measures can be used to control or alleviate the symptoms associated with this disease. Education is an important component to every intervention phase, particularly in primary prevention, because the patient is encouraged to be proactive with their personal health in order to avoid and control the triggers. Prescribed medication, such as an inhaler, and an action plan that is individualized to the specific care of a particular patient is essential in the secondary prevention phase. Finally, in the tertiary prevention phase, the care is directed not only at the common asthmatic symptoms and triggers but also at the complications that result from long-term suffering of this disease. This paper focuses on environmental factors which trigger asthma, with specific focus on children from infancy to 16 years of age in low-income housing, and how the appropriate measure can minimize the triggers and symptoms. The New York City Housing Authority (NYCHA) is the example we will use.

A bag and valve mask requires a hand placement called the C-E. The C-E is used to tilt the head for a better airway. A modified jaw thrust is used for a trauma patient so head movement isn’t needed. PEARL (pupils equal and reactive to light) is used to assess the eyes. If there is a brain injury the patient’s pupils will be noticeably unequal.

B.T. has a nursing diagnosis of ineffective airway clearance that requires nurse management with prescribed beta 2 adrenergic agonists, and teaching effective coughing and breathing techniques. The respiratory therapist will assist by performing nebulizer treatment and teaching the patient about home nebulizer. The nurse will emphasize on the importance of adhering to medication regimen and taking the right medication at the right time.

Upon arriving at the scene, the advanced care paramedic would begin the primary survey. All dangers would be assessed, including environmental dangers, animals, agitated bystanders and any other alarming cues. Once all dangers have been assessed the ACPs begin investigating the patient’s responsiveness using the acronym AVPU (QLD.gov.au, 2016). An assessment of their alertness, verbal response, response to painful stimuli or unconsciousness is completed. Once assessed, the patient’s airway is then checked to be clear of any obstructions to ensure proper respiration can occur, at this point, the triple airway manoeuvre would be adjusted to only the opening of the mouth and the jaw thrust (QLD.gov.au, 2015). If the patient complains of neck and back tenderness, neurological deficit, evidence of intoxication or a distracting injury (QLD.gov.au, 2016. 2) spinal immobilisation is required to ensure no further damage to the spinal cord occurs or an aid to keep the patient as calm as possible if a distracting injury (Hodegetts et al., 2011). The patient's breathing should then be assessed now that the spine in immobilised to ensure the depth, rate and rhythm of the breaths are adequate. If needed an oropharyngeal airway may need to be inserted into the mouth to keep the tongue from blocking the airway if it is tolerated (Higginson et al,. 2013). Lastly, in the primary survey, the

When I was a little girl, I wanted to be a dentist just like my mom. If you ask me what I would want to be now, I would probably tell you a respiratory therapist. I would want to go into any medical field because I love helping others and seeing others progress in their illness and watching them grow as people. I also would want a job that allows me to have contact with people everyday. In this paper, I will be discussing what a respiratory therapist does on an everyday basis, the salary and job demand, and the classes a respiratory therapist has to take.

With a patient that has a full airway obstruction the patient would be unable to breathe, speak, or even cough enough to dislodge the offending obstruction. The patient will be in obvious distress and be displaying forceful efforts to breath with no successful respirations taking place. On closer observations one will see the patient presenting with attempted intercostal respirations along with supraclavicular retractions. [Joynt 2015] As can be expected with the complete compromise of the airway the patient will only have a rapidly exhausted supply of oxygen and will soon lose conciseness and any effort to breathe will cease. The result of the lack of oxygen causes the patient to experience cardiac arrest and death if the obstruction is not removed. As paramedics there is varied ways to deal with this type of situation from very basic procedures to fairly advanced interventions. On first contact with a conscious patient experiencing a complete airway obstruction the first intervention would be to perform a abdominal thrust. The abdominal thrust also know as the Heimlich maneuver is basically accomplished by standing or kneeling behind the patient and placing your fist just above the naval with the thumb facing inward .You then thrust in an up in repeated attempts until the object

Respiratory therapists are health care professionals who are responsible for taking care of people who have lung and heart problems. Respiratory therapist responsibilities include treating patients with infections, diseases and viruses. RT’s care for patients who range from newborns’ to elderly. They have knowledge in pulmonary functions, pathophysiology, cardiopulmonary, and technology which allows them to thoroughly diagnose and treat patients with disorders. They deal with disorders such as COPD, pneumonia, asthma, flail chest, and many more. They also work with patients who have or had sleep disorders and heart attacks.

Oronasal mask was used with all subjects to start NIV. Manually and/or Mechanically Assisted Cough - manually assisted cough was employed to provide optimal insufflations. Portable ventilator was used to deliver deep insufflations. Both assisted coughs were administered for the first 3 days of the home care practical by a respiratory care therapist, who visited the patients every morning. They trained them for 3 days how to use NIV. The pulmonology also visited the subjects for the first three days. The nurses visited the patients mornings and afternoons until recover them not to getting worst.

In order to make sure that the victims airway is open,place your hand on the victims forehead and two fingers on their chin and tilt the head back slightly to open the airway.Look, listen, and feel for breathing. Get close enough to the victims face to listen if victim can breath by putting you ear close to the victims mouth. At the same time ,look if victims chest is rising up.Do that for ten seconds.If you do not feel the victims breath, or cannot see the chest rising after ten seconds, continue to the next step.