MODULE 9 - CWIs Flashcards
059
Bag Valve Mask
Indications & Contras?
Indications:
- Apnoea
- Inadequate ventilation
Contras:
- NONE
059
Bag Valve Mask
Equipment?
- BVM
- O2
- PEEP valve (as req’d.)
- Bacterial / viral filter
059
Bag Valve Mask
Procedure?
- PREPARE PT
- positioning (airway), mask size, BVM circuit + filter,
O2 attached > 8L/min - APPLY MASK
- good fit to face, appropriate grip for good seal
(VE, CE, double CE) - VENTILATE PT
- squeeze at appropriate vol. & rate,
note chest rise & fall,
continue reassessing all of above
and spontaneous resp. effort
190
Airway manoeuvres & positioning
Indications & Contras?
Indications:
- Pt that requires airway mx
Contras:
- NONE
190
Airway manoeuvres & positioning
Equipment?
towel / sheet / blanket
190
Airway manoeuvres & positioning
Background»_space; In an unconscious pt, which muscles relax? What can this lead to?
Pharyngeal muscles relax.
Can lead to obstruction of airway by soft tissue (e.g. soft palate, tongue, +/- epiglottis
190
Airway manoeuvres & positioning
Overview»_space; Neutral pos. points?
- For initial ax and airway mx
- Maintains neutral alignment for pts w/ susp. cervical spine injury
190
Airway manoeuvres & positioning
Overview»_space; Sniffing pos.?
- For pts requiring airway mx
- Optimises airway patency
- Optimises anatomical pos. for ETT / SGA
- NOT appropriate for spinally immobilised pts
190
Airway manoeuvres & positioning
Overview»_space; Lateral pos.?
- Pts w/ Alt CS, not requiring active airway mx
- Reduced risk of aspiration
190
Airway manoeuvres & positioning
Overview»_space; Head tilt / chin lift
- Initial ax and airway mx
- Combined w/ neutral pos. during initial ax and mx
190
Airway manoeuvres & positioning
Overview»_space; Triple airway manoeuvre
- airway mx and troubleshooting
- Combined w/ sniffing or neutral pos.
190 Airway manoeuvres & positioning Neutral pos. for: Adult? Paed?
Adult:
- supine, elevate head 2-5cm to bring ear canal to the level of mid-clavicle
paeds:
- due to prominent occiputs and short necks in paeds, use blankets / towels to achieve thoracic elevation
as per Adult
190
Airway manoeuvres & positioning
Sniffing pos.?
- supine, elevate head to bring ear canal to level of sternum
- req. upper neck extension - face parallel w/ ceiling
- elevate head of stretcher if req’d. to achieve this pos.
190
Airway manoeuvres & positioning
Lateral pos.?
- neutral head / spine (if susp. spinal inj.)
- extend one arm perpendicular to body
- place other arm across chest
- flex hip + knee (same side as arm across chest)
- roll pt to their side ensuring hip + knee stay flexed
- extend neck (use towel / blanket if req’d.) to achieve neutral spine
190
Airway manoeuvres & positioning
Airway manoeuvres?
- Head tilt / chin lift
- Triple airway manoeuvre
* Susp. spinal injury: DO NOT tilt head