Emergency Airway Management Quiz

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Questions and Answers

What is the main purpose of the cricoid cartilage?

  • To provide structural support to the upper trachea (correct)
  • To produce sound by vibrating
  • To protect the glottic opening from food entering the airway
  • To prevent the tongue from blocking the airway

Which maneuver should be used to open the airway if a spinal injury is suspected?

  • Head-tilt, chin-lift maneuver
  • Jaw-thrust maneuver (correct)
  • Suctioning on the way out
  • None of the above

Which of these is NOT a sign of airway compromise?

  • Bradycardia (correct)
  • Wheezing
  • Stridor
  • Snoring

What does the presence of retractions indicate?

<p>The patient is experiencing difficulty breathing (A)</p> Signup and view all the answers

What is the maximum recommended suctioning time for infants?

<p>5 seconds (A)</p> Signup and view all the answers

Which of the following is a key indicator of respiratory distress in children?

<p>Nasal flaring (B)</p> Signup and view all the answers

Which of the following is NOT a correct statement about suctioning procedures?

<p>Suctioning should be done on the way in to clear the airway (B)</p> Signup and view all the answers

Which of the following is the MOST important action to take when a patient's airway is obstructed by vomit?

<p>Suction the airway (C)</p> Signup and view all the answers

Which of the following actions are appropriate when treating a child with a suspected airway obstruction?

<p>Observe for signs of respiratory distress such as retractions and nasal flaring (A)</p> Signup and view all the answers

A patient presents with gurgling sounds and fluid in the airway. What should be immediately done?

<p>Suction the airway to remove the fluid (B)</p> Signup and view all the answers

When there is suspicion of a spinal injury in a patient, which airway maneuver is appropriate?

<p>Jaw-thrust maneuver (A)</p> Signup and view all the answers

Which of the following sounds suggests a partial airway obstruction?

<p>Stridor (A), Wheezing (B)</p> Signup and view all the answers

What action should be taken if a patient with head trauma is found unconscious?

<p>Use the jaw-thrust maneuver to open the airway (A)</p> Signup and view all the answers

Which of the following conditions is not a sign of respiratory distress in children?

<p>Increased heart rate (B)</p> Signup and view all the answers

Which of the following scenarios best shows a need for immediate suctioning?

<p>A patient with gurgling sounds and fluid in the airway (C)</p> Signup and view all the answers

Which of the following statements is true regarding airway management?

<p>Understanding the signs of airway compromise and using the appropriate techniques are critical for patient care (D)</p> Signup and view all the answers

Flashcards

Jaw-Thrust Maneuver

Technique to open the airway without moving the neck, used when spinal injury is suspected.

Head-Tilt, Chin-Lift Maneuver

Method to open the airway for non-trauma patients by tilting the head back and lifting the chin.

Signs of Airway Compromise

Indicators like gurgling, wheezing, or abnormal sounds, requiring immediate action.

Suctioning

Process of removing fluids from the airway to clear obstructions and improve ventilation.

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Pediatric Airway Considerations

Children's airways are sensitive; avoid prolonged suctioning to prevent hypoxia.

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Partial Airway Obstruction

Often caused by food or foreign objects, indicated by abnormal sounds like stridor.

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Signs of Respiratory Distress in Children

Indicators like retractions and nasal flaring suggesting a compromised airway.

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Trauma Management in Airway Care

Always assume spinal injury in trauma cases and use jaw-thrust maneuver for safety.

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Suctioning Indications

Suctioning is needed when fluid obstructs airflow and breathing is difficult.

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Proper Suctioning Technique

Suctioning should be done while withdrawing catheter, for no more than 10 seconds for children.

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Indicators of Respiratory Distress

Indicators include wheezing, stridor, retractions, and nasal flaring.

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Epiglottis Function

The epiglottis prevents food from entering the airway, protecting the glottic opening.

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Suctioning in Children

When suctioning children, use caution and consider using a rigid-tip catheter.

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Study Notes

Airway Management and Suctioning

  • Airway Obstruction Signs: Wheezing (narrowed airways), stridor (upper airway obstruction), snoring (partial upper airway obstruction), gurgling (fluid in airway), retractions and nasal flaring (respiratory distress, esp. children).

  • Suctioning Indications: Fluid (e.g., vomit, blood, mucus) obstructing the airway and patient breathing difficulty.

Airway Techniques

  • Head-Tilt, Chin-Lift: Open airway when no spinal injury suspected. Tilt head back, lift chin.

  • Jaw-Thrust: Used for suspected spinal injury. Avoids head tilting, prevents spinal cord damage; apply pressure to jaw angles, lift jaw forward.

  • Suctioning Technique: Perform suctioning on the way out only to prevent tissue damage.

  • Suctioning Duration: 10 seconds for children, 5 seconds for infants to avoid hypoxia.

Respiratory Distress Recognition

  • Wheezing: Airway constriction.

  • Stridor: High-pitched sound, upper airway obstruction.

  • Retractions: Skin sinking, breathing difficulty.

  • Nasal Flaring: Increased breathing effort, common in children during distress.

Airway Anatomy

  • Epiglottis: Leaf-shaped cartilage; protects glottic opening, prevents food entry.

  • Cricoid Cartilage: Below thyroid, supports upper trachea.

  • Vocal Cords: In larynx, sound production, not glottic protection.

Suctioning in Special Cases

  • Children: Gentle suctioning, avoid long durations, use rigid-tip catheters if needed.

  • Trauma/Head Injury: Assume spinal injury until ruled out. Use jaw-thrust.

Patient Population Considerations

  • Children: Airway more sensitive; cautious suctioning, shorter suction times. Wheezing, retractions, and nasal flaring indicate possible airway compromise.

  • Trauma: Assume spinal injury, use jaw-thrust. Avoid neck movement.

Correcting Airway Compromise

  • Signs: Gurgling (fluid obstruction, urgent suctioning); wheezing/stridor (partial obstruction, e.g., foreign body).

  • Steps: Suction airway; jaw-thrust/head-tilt, chin-lift (depending on trauma suspicion).

Key Review Points

  • Suctioning: Essential for fluid obstructions.

  • Jaw-Thrust: For suspected spinal injury.

  • Head-Tilt, Chin-Lift: For no spinal injury.

  • Abnormal Sounds: (Wheezing, stridor, gurgling) alert for immediate airway action

  • Pediatric Signs: Retractions, nasal flaring, urgency of response.

Practice Scenarios

  • Scenario 1 (Child): Wheezing, nasal flaring; assess airway, suction as needed.

  • Scenario 2 (Trauma): Unconscious, head trauma; jaw-thrust, avoid neck movement.

  • Scenario 3 (Fluid Obstruction): Visible fluid, gurgling; immediate suctioning.

General Summary

  • Airway management and suctioning core skills for patient care: Crucial skills to address various respiratory concerns.
  • Crucial Skills: Identifying airway compromise, using correct techniques, caution with special populations.

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