SGA Directive

Question 1

What are the indications for the SGA directive?

Answer 1

Need for ventilatory assistance or airway control;
AND
Other airway management is ineffective.

Question 2

What are the conditions for a supraglottic airway?

Answer 2

Patient must be in cardiac arrest.

Question 3

What are the contraindications for a supraglottic airway?

Answer 3

• Active vomiting
• Inability to clear the airway
• Airway edema
• Stridor
• Caustic ingestion

Question 4

What is the maximum number of attempts at SGA insertion?

Answer 4

2

Question 5

Is the max number of SGA insertion attempts per pt or per paramedic?

Answer 5

Per pt.

Question 6

What is the primary method of SGA placement confirmation?

Answer 6

ETCO2 (Waveform capnography)

Question 7

What are the secondary methods of SGA placement confirmation?

Answer 7

• ETCO2 (Non-waveform device)
• Auscultation
• Chest rise

Question 8

How does the ALS define an attempt at SGA insertion?

Answer 8

The insertion of the SGA into the mouth.

Question 9

How many of each SGA placement confirmation methods must be used?

Answer 9

Either the primary (ETCO2 with waveform), or at least 2 secondary methods.