Airway Assessment and Management in emergency medicinent, .pdf
1. Airway Assessment and
Management in Emergency
Medicine
Maintaining a patent airway is the
absolute priority in any emergency
situation. During the first five
minutes and primary survey,
airway assessment and
management are crucial for patient
survival. Here's a deeper dive into
this critical aspect:
2. Airway Assessment:
•Look: Check for facial
deformities, swelling, bleeding, or
foreign objects obstructing the
airway.
•Listen: Listen for breath
sounds, both normal and abnormal
(e.g., stridor, wheezing).
•Feel: Feel for air movement near
the mouth and nose.
•Evaluate level of consciousness: A
decreased level of consciousness
can indicate compromised airway
function.
•Use scoring systems: Tools like
Mallampati score or LEMON score
can predict potential difficulties
with airway management.
3. Airway Management:
•Basic interventions:
1. Head-tilt chin-lift
maneuver: Opens the
airway slightly.
2. Jaw thrust
maneuver: Further opens
the airway, especially
helpful in unconscious
patients.
3. Oropharyngeal or
nasopharyngeal
airway: Artificial tubes
inserted to maintain airway
patency.
4. •Advanced interventions:
• Bag-valve mask
ventilation: Manual
ventilation using a mask and
bag.
• Endotracheal
intubation: Placing a tube
through the mouth or nose
into the trachea.
• Surgical
cricothyrotomy: Creating an
opening in the throat as a
last resort.
5. Important Considerations:
•Equipment availability: Different
situations may require adaptation
with limited resources.
•Skill level of provider: Advanced
interventions like intubation should
be performed by trained
personnel.
•Continuous monitoring: Oxygen
saturation, respiratory rate, and
other vital signs need constant
monitoring.
•Potential complications: Improper
airway management can lead to
hypoxia, aspiration, and other
serious consequences.