Airway & Ventilation Management

Question 1

What is a definitive airway? (x3)

Answer 1

1. Endotracheal tube placed in the trachea with the cuff inflated and below the vocal cords
2. The ETT is attached to an oxygen enriched assisted ventilation device
3. Airway secured in place with appropriate stabilizing method

Question 2

Types of definitive airways? (x3)

Answer 2

Nasotracheal
Orotracheal
Surgical

Question 3

RSI procedure?

Question 4

LEMON

Question 5

Who gets oxygenation?

Answer 5

Supplemental oxygen must be administered to all severely injured trauma patients

Question 6

What is the most important early assessment measure to ensure airway patency in a trauma patient?

Answer 6

Talk to the patient and stimulate a verbal response a positive appropriate verbal response with a clear voice indicates that the patient’s airway is patent, ventilation is intact, and brain perfusion is sufficient

Question 7

What is the triad of clinical signs suggesting laryngeal fracture?

Answer 7

1. Hoarse voice
2. Subcutaneous emphysema
3. Palpable fracture

Question 8

In terms of ventilation issues, what do injuries below the C3-C5 level result in?

Answer 8

Diaphragmatic breathing
C3,4,5 keeps the diaphragm alive

Question 9

Factors that indicate a difficult airway? (x7)

Answer 9

1. Obesity
2. Paediatrics
3. Anatomical variation
4. C-spin arthritis/ immobility
5. Facial fractures
6. limited mouth opening

Question 10

Quickest cause of death in trauma patient?

Answer 10

Hypoxia

Question 11

Indications for definitive airway?

Question 12

Intubation process?

Answer 12

SOAP ME
Suction
Oxygenate
Adjuncts
Pre-oxygenate
Monitor/Meds
Equipment

Question 13

DOPE

Answer 13

Dislodged
Obstruction
Pneumothorax
Equipment failure