Ohio Department of Public Safety Division of EMS

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Ohio Department of Public SafetyDivision of EMS

• Trauma Education Module
• Airway Management
• August 2003

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Airway Management
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Airway Management OBJECTIVES

• Airway Management
• Identify patients who require air way control
• List methods of manual and mechanical airway
  management and how to implement them while
  maintaining cervical spine immobilization.
• List methods of ventilation and how to implement
  them while maintaining in-line cervical spine
  immobilization
• Describe the techniques for initial and
  subsequent assessment of the airway and
  ventilation interventions on trauma patients.

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Airway ManagementIdentify patients who require
air way control

• Mechanical Obstruction
• Decreased Neurological Function

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Airway ManagementList methods of manual and
mechanical airway management and how to implement
them while maintaining cervical spine
immobilization

• Jaw Thrust/Chin Lift
• Oropharyngeal Airway
• Nasopharyngeal Airway

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Airway ManagementList methods of manual and
mechanical airway management and how to implement
them while maintaining cervical spine
immobilization

• Endotracheal Tube

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Airway ManagementList methods of manual and
mechanical airway management and how to implement
them while maintaining cervical spine
immobilization

• Laryngeal Mask Airway
• Esophageal Tracheal Double Lumen Airway
• Percutaneous Transtracheal Catheter Ventilation
• Surgical Cricothyrotomy

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Airway ManagementDescribe the techniques for
initial and subsequent assessment of the airway
and ventilation interventions on trauma patients

• Airway Assessment
• Ventilation Assessment

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Airway Management Triage Concerns

• TRANSPORT TO A TRAUMA CENTER IF
• Respiratory rate less than ten or greater than
  twenty-nine
• Requires endotracheal intubation
• Requires relief of tension pneumothorax

TRAUMA CENTER
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Airway Management Special Pediatric Triage
Concerns

• TRANSPORT TO A TRAUMA CENTER IF
• Evidence of respiratory distress or failure
  means physiologic indicators of decreased
  ventilatory function, which may include any of
  the following symptoms
• Stridor
• Grunting
• Retractions
• Cyanosis
• Hoarseness
• Difficulty speaking respiratory rate less than
  ten or greater than twenty-nine

PEDIATRIC TRAUMA CENTER
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Airway Management Summary

• Airway Management

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Airway Management

• Case Study

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Airway Management QUESTIONS ?
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References Resources

• PHTLS
• Basic Advanced Prehospital Trauma Life
  Support, 4th Edition Mosby
• BTLS
• Basic Trauma Life Support, 4th Edition, Brady
• ATLS
• Advanced Trauma Life Support, 6th Edition,
  American College of Surgeons