Ch 3: Emergency Airway Algorithms

Question 1

The 4 airway Algorithms?

Answer 1

1. Main Airway algorithm.
2. Crash Airway
3. Difficult Airway
4. Failed Airway

You MUST recognize the CONTEXT and take appropriate actions.

RECOGNITION——->ACTION

Question 2

Is this a CRASH Airway?

Answer 2

1. Unconscious?
2. Near Death
3. Agonal or No respirations.

Expect NO response to Laryngoscopy!

BMV Underway

Are they pulseless?

YES–>BMV or EGD during CPR/ACLS

NO–>Intubate. Skip RSI & Optimization

CICO—>FAILED AIRWAY

Attempt 1 failed BUT oxygenating.

ACTION: Succinylcholine 2mg/kg IVP

INTUBATE 2nd attempt

CICO—>FAILED AIRWAY

ACTION: INTUBATE 3rd attempt

CICO—>FAILED AIRWAY

>3 attempts by Boss—>FAILED AIRWAY

Question 3

Is this a Difficult Airway?

Answer 3

93%—93%—93%—93%—93%—93%—93%—93%—>

1. LEMON-ROMAN-RODS-SMART

CALL FOR ASSISTANCE

2. Forced to ACT? Yes—>RSI—>Intubate

RSI creates best condition for ONE BEST ATTEMPT

CICO–>FAILED AIRWAY!!

3. NOT Forced to ACT?

Not oxygenating—>FAILED AIRWAY!!

Oxygenating:

IF BMV & EGD good & Intubation predicted

THEN RSI with DOUBLE setup

4. AWAKE INTUBATION

Consider VL, endoscopic, intubating LMA, Cric

Sedate & topical used. If dynamic deteriorating airway Intubate. If stable back out and consider RSI and go.

Question 4

Failed Airway

Answer 4

Oxygenation by ANY means possible!!

No Brain death allowed!

1. Call for Help
2. If CICO ACT Now. EGD/Prep for Cric.
3. If LMA used use an I-LMA.