Paramedic Airway Fisdap Review Part 1 Study Guide Rated A+

Orotracheal intubation by direct laryngoscopy {Ans: ET tube is inserted through the mouth and into the trachea while visualizing the glottic opening with a laryngoscope *a. Indications* i. Airway control needed as a result of coma, respiratory arrest, and/or cardiac arrest ii. Ventilatory support before impending respiratory failure iii. Prolonged ventilatory support iv. Absence of a gag reflex v. Traumatic brain injury vi. Unresponsiveness vii. Impending airway compromise (burns or trauma) viii. Medication administration (last resort) *b. Contraindications* i. Intact gag reflex ii. Inability to open the patient's mouth because of trauma, dislocation of the jaw, or a pathologic condition iii. Inability to see the glottic opening iv. Copious secretions, vomitus, or blood in the airway c. Standard precautions a. Intubation may expose you to blood or other body fluids, so take proper precautions. i. Gloves ii. Mask that covers your entire face -Preoxygenation a. Adequate preoxygenation with a bag-mask device and 100% oxygen is critical before intubation. b. Preoxygenate an apneic or hypoventilating patient for 2 to 3 minutes. i. During the intubation attempt, the patient will undergo a period of "forced apnea." ii. Goal of preoxygenation is to prevent hypoxia from occurring during this time. iii. Monitor