ADVANCE AIRWAY

Purpose of Module:

The purpose of this module is to learn the principles of advance airway management.

Time to complete Overview of Advance Airway Management: 1 hour

You must spend at least 1/2 hour doing hands-on training.

  1. Read the training objectives
  2. Read Brady Emergency Care, Eighth Edition pp. 741-769
  3. Watch the videotape "Mosby's EMT Basic Video Series, Module 8 - Advance Airway"
  4. Use the MED EMT computer based training software and complete Chapter 9
  5. Perform Advance Airway Maneuvers as described in objectives using the advance airway checklist and the adult mannequin provided.
  6. Take the posttest.
  7. Give module back to instructor or person in charge.

Training Objectives
  1. Identify and describe the airway anatomy and the differences between infant, child and adult airways
  2. Describe the indications for advanced airway management.
  3. Describe the equipment required for orotracheal intubation and proper methods of choosing the appropriate size endotracheal tube.
  4. List complications associated with advanced airway management, and explain the value of performing advanced airway techniques.
  5. Explain the need for having a suction unit immediately available during intubation efforts.

Activities to Perform
  1. Watch the video tape "Mosby's EMT Basic Video Series, Module 8 - Advance Airway"
  2. Use the MED EMT computer based training software and complete chapter 9
  3. Demonstrate advance airway management techniques on an adult mannequin
  4. Take the posttest to give yourself feedback on this module

Posttest

1.  In the anatomy of the airway, the groove like structure anterior to the epiglottis is the:

a.  cricoid cartilage
b.  carina
c.  vallecula
d.  vocal cords

2.  Adequate breathing is the result of many factors.  These include all of the following except:

a.  a functioning brainstem
b.  an open airway
c.  an intact chest wall
d.  the ability of changing pressure in the chest cavity

3.  The pediatric airway differs from the adult airway in that:

a.  the structure of the mouth and nose of a child are less easily obstructed
b.  a child's tongue is proportionately larger
c.  a child's trachea is more rigid
d.  a child uses the intercostal muscles more than the diaphragm to breathe

4.  The adult male should receive a larger endotracheal tube than  the adult female.  The usual size for a male and female are:

a.  8.0 -8.5 for the male 7.0 - 8.0 for the female
b.  7.5 - 8.0 for the male 6.5 -7.5 for the female
c.  9.0 -9.5 for the male 8.0 - 9.0 for the female
d.  9.5 -10.0 for the male 8/5 - 9.5 for the female

5.  General rules of endotracheal intubation include:

a.  hyperventilation of the patient at 24 bpm prior to intubation
b.  holding the laryngoscope in the right hand and the tube in the left
c.  using a curved blade to lift the epligottis
d.  inflation of the cuff of the tube with 35cc of air

6.  To verify the correct placement of the endotracheal tube:

a.  confirm breath sounds over the epigastrium
b.  observe the chest rise and fall with each ventilation
c.  pull the tube back and forth while listening to lung sounds
d.  inject 10cc of sterile water into the tube and listen for the gurgling sounds in the lungs