Advanced Airway Management

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welcome to this edition of the first a

show what we're going to do now is have

a look at sorts of things that a

paramedic or a medical professional

would do when they arrive on the

and the use of Airways to ensure that

the person can breathe as best as

possible while doing resuscitation and

also postresuscitation care so from a

first aid and basic life support

perspective we would open the airway by

head tilt chin lift but when a medical

professionals arrive what could they do

to make the airway even better so they

would use um a variety of they called

adjunct to assist with the um holding

the airway open and the easiest one to

explain to you it would be the um or

fair and G Airway which come in various

sizes depending on the size of the

patient you need to measure the right

size for your patient so obviously we

have three sizes here and the way that

you would um measure is you go from the

earlobe to the corner of the mouth and

literally you would place this to the

side measure from here to the corner of

the mouth that we know that fits to

place it into the patient's mouth you

need to be able to visualize first so

there's nothing in the way um and it

goes in upside down and then you rotate

it to go make sure that you don't push

the tongue further back so you would

actually open up the jaw pop it into the

mouth until you actually will physically

feel it stop because you've actually hit

the hard pallet at that point and then

you're able to rotate it round and push

it in and that will then hold the tongue

in position you still will have to do an

element of chin lift jaw thrust sorry

chin lift head tilt um to be able to

keep that Airway in position but it will

um provide a bit more support than

without it

you can actually use this to suction

around to um so that you can suction

down through the hole or around should

they be producing too much of the um

normal secretions that we produce on a

daily basis and swallow so the other

type of Airway you can use is a nasal

Airway um and this goes up the nose and

it sits just above the bit that you

tickle and are sick so it won't actually

induce any vomiting so you're going to

need some form of lubricant for this to

actually go into the nose so um I have

some lubricant here so we'll just Lu

rate this here and it just goes into the

nostril as I said you're listening for

the breath so you listen for the breath

as you hear the breath you know you're

going in the right direction obviously

we want to actually head towards the

lungs and not towards the brain so

that's why you listen for the breath so

you listen for the breath hear the

breath and push slightly rotate just so

that it will move hear another breath

and push and the last one hear another

breath and push and it sits just there

some of these you will find have a

safety pin attached the safety pin is

there so that you don't lose it and it

doesn't go any further in some also have

a square flange so that there's no

chance of losing it um they can be lost

so that's why you need safety pin and

just finally just to reiterate these are

for trained people only um not for a

standard first aid you would need proper

training oning these you do need proper

training you can actually do a lot of

damage with these instruments if you

don't know what you're doing

yes