Airway Management (2022) - OLD

Airway Management is a fundamental life saving skill.
Your management of the airway depends upon your abilities, training, and scope of practice. The best method of airway management will vary depending on patient condition, equipment available, and skill level of the provider.

The first 2 steps in any airway management response involve opening and clearing the airway.
1st open the airway using a head-tilt, chin-lift by placing one hand on the forehead and the other on the chin, push with the palm to move the head back while lifting the jaw to bring the chin forward.
2nd clear the airway, suctioning may be necessary to remove foreign material or secretions.

Now that the airway is open and clear, consider a couple airway adjuncts to maintain patency. There are 2 main types including the Oral Pharngeal (FAIR_EN_GEE-E-AL) Airway for unconscious patients and the Nasal Pharangeal ((FAIR_EN_GEE-E-AL) Airway for conscious patients.

Selection of the proper sized Oral Pharngeal (FAIR_EN_GEE-E-AL) Airway is done by assessing the flang at the lips of the patient and tip of the airway which should be at the angle of the jaw. Insertion is achieved by pointing the tip toward the hard palate and then rotating 180 degrees until the tip touches the posterior pharangeal (FAIR_EN_GEE-E-AL) wall.

Selection of the proper sized Nasal Pharangeal (FAIR_EN_GEE-E-AL) Airway is done by assessing the flang at the nostril and the tip should just reach the tragus of the ear. To insert, place the tip perpendicular with the maxillary bone, using gentle pressure and a spiral motion until the devise is in place beyond the nasopharanyx providing a patent airway.
After placement, listen to the chest to insure that the patient is receiving adequate breath sounds.

Now that we have our airway adjunct in place we now move to bag mask ventilation.
To properly use the Bag-mask, use the “E-C formation with your hands”
to do so, form a C with the index finger and thumb on one hand on the top side of the mask on the bridge of the nose. This securely applies the mask to the face. Now the 3 remaining fingers form an E and use these fingers to lift the jaw opening the airway. Now maintaining this position, the provider squeezes the bag taking 1 second to provide one ventilation. (enter person 2)
If a second provider is available to assist with bag mask ventilation, one provider will deliver ventilations with the bag while the other provider provides the same E-C formation with both hands to the mask.

So you have completed the airway management skills training. Please feel free to review as often as you would like and we encourage you to practice your skills with a skilled health care provider. So, please go out there and save lives!"

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[jt]

Excellent videos & I'm grateful for them. Minor point regarding otherwise great narration: 'Pharyngeal' is typically pronounced with just one 'L' sound - an easy mistake to make.