Management
Updated: Mar 2011
Terminal Learning Objective
Given a combat casualty with airway compromise,
Maintain a casualty's airway IAW Prehospital Trauma Life Support
The Respiratory System - Review
The Respiratory System - Review
Check on your Learning…
What is the function of the nasal cavity?
It warms, humidifies, and filters to remove impurities of inhaled atmospheric air. Does the diaphragm contract or relax during inhalation? Contract
Check on your Learning…
When the blood level of CO2 increases, the casualty's respiratory rate will _______?
Increase !!
Airway
Remember:
Interventions to the airway are best deferred to the tactical field care phase. Only after life threatening bleeding has been addressed, will you assess airway
Essential Airway Skills
Positioning
Positioning
Essential Airway Skills
A conscious casualty, able to follow commands and sit up are much easier to care for.
What would happen if the casualty in the previous picture was forced to lie on his back?
What additional treatment would be required due to his position? Manual Maneuvers
Used on unconscious casualties when the tactical situation allows
Head-tilt, chin-lift
Jaw-thrust
Recovery position
Suctioning
Traditional mechanical suction is preferred, but rarely available in combat. Medics often improvise by simply using a large syringe and tubing.
Various commercial manual suction devices are available.
Suctioning
Indications
Mucus, vomitus or blood in the airway.
Complications of suctioning can be avoided by sticking to the 15 sec rule.
Prolonged suctioning will produce hypoxemia.
Cardiac dysrhythmias from arterial hypoxemia.
Vagus nerve stimulation may lead to profound bradycardia and hypotension.
Nasopharyngeal Airway Adjunct
The purpose of an NPA is to manage a casualties airway.
NPA’s are preferred in a combat environment because?
1. NPA’s are less likely to dislodge in transport
2. NPA’s are less likely to cause a gag reflex
3. And NPA’s are