Introductions and Airway Case Review

Introductions

- Dan Background

- Steve Background

- Review the rules for getting CE

Airway Case Review

  • Dispatch
  • En route
  • Arrival
  • First impression
  • Patient presentation and location
  • History
  • Vital signs
  • Exam findings
  • Thoughts running through your head
  • Five things you wanted to be done 10 minutes ago
  • Transport decision
  • Notification to the receiving hospital
  • Transport changes with the patient
  • Arrival at the hospital
  • Thoughts afterward

Clinically significant findings in the traumatic airway

  • Unconscious bias can influence important decisions prior to arriving on scene. Always weigh the pros and cons of each decision carefully
  • Always conduct your initial scene assessment, followed by a primary assessment of the patient
  • Hospital distance, patient presentation, and resource availability all influence whether a provider should stay and play or load and go 
  • Hypotension, oxygenation and pH must be managed prior to intubation or cardiac arrest can occur
  • Ketamine can be beneficial prior to intubation to facilitate airway management, along with managing combative patients
  • Auscultate over the stomach and both lungs, and then use end tidal to confirm tube placement
  • Hypercarbia can be managed by increasing ventilations, while hypocarbia can be managed by decreasing ventilations
  • Tunnel vision can cause problems appropriately managing a patient, remember to look at overall patient presentation
  • Do what is best for your patient, not your ego
  • Always do a thorough primary and secondary trauma assessment to ensure critical issues are not overlooked
  • Recognizing and learning from mistakes is one of the most important things a medical provider can do throughout their career in medicine. 

Content Creator: Steve Williams
CAPCE Course Number: 20-EMTP-F3-3801
Total CE Hours: 1
Level: Advanced