Drug-Assisted Airway Placement Contraindications
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Questions and Answers

What is the single most important contraindication to Drug Assisted Airway placement?

  • Inability to visualize the airway
  • Presence of neck trauma
  • Patient's hypoxia despite basic airway management
  • Inability to insert a SGA or ETT (correct)
  • Which of the following is a relative contraindication for Drug Assisted Airway placement?

  • Successful ventilation with basic airway management
  • Normal oxygen saturation levels
  • Inability to visualize the airway (correct)
  • Patient with a complete airway obstruction
  • What is a potential risk when using paralytics in patients with partial airway obstruction?

  • Increased muscle tone
  • Reduced need for airway management
  • Improved ventilation
  • Progression to complete airway obstruction (correct)
  • What is required if an impending airway obstruction is identified?

    <p>Mandatory Online Medical Control (OLMC)</p> Signup and view all the answers

    Why is basic airway management often preferred in the prehospital environment?

    <p>It involves lower risk for maintaining oxygenation</p> Signup and view all the answers

    Study Notes

    Contraindications to Drug Assisted Airway Placement

    • The most important contraindication to drug-assisted airway placement is the inability to insert a supraglottic airway device (SGA) or endotracheal tube (ETT).
    • Relative contraindications include:
      • Inability to adequately visualize or impending airway obstruction.
        • This includes conditions such as burns, anaphylaxis, epiglottitis, retropharyngeal abscess, partial foreign body obstruction, neck trauma, and angioedema.
        • Any patient with a partial airway obstruction may progress to a complete airway obstruction due to the loss of muscle tone caused by paralytics.
        • Mandatory online medical control (OLMC) is required if an impending airway obstruction is identified.
        • Consult with OLMC, an ETT may be the preferred option in an impending airway obstruction.
      • Adequate ventilation and oxygenation achieved with basic airway management.
        • Basic airway management techniques are often effective and lower risk than advanced airway techniques in the prehospital setting.
        • Patients critically hypoxic despite basic airway management should be assessed for difficulty with airway intervention.
        • Mandatory online medical control (OLMC) is required to discuss facilitation of ETT and/or advanced airway adjuncts with medications.

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    Description

    This quiz covers the contraindications related to drug-assisted airway placement, focusing on essential aspects such as the inability to insert devices and conditions that may lead to airway obstruction. It also discusses the role of online medical control in managing these scenarios. Test your knowledge on the critical considerations in airway management.

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