Surgical Cricothyrotomy: Rapid Four-Step Technique

What is the first step in the surgical cricothyrotomy procedure?

What is the length of the incision made through the skin, subcutaneous tissue, and cricothyroid membrane?

What tool is used to provide traction in the caudal direction to stabilize the trachea?

What is the alternative to a No 4 cuffed tracheostomy tube that can be used in the procedure?

During the procedure, which component needs to be palpated to locate the cricothyroid membrane?

Which tool is depicted as option b) in Figure 1 for performing a laryngotomy?

Which cartilage is located above the cricothyroid membrane in Figure 2?

What is the label of the device shown piercing the cricothyroid membrane in Figures 2 and 3?

Which anatomical part is shown being pierced by the PCKD in Figure 2?

What is depicted on the right side of the picture in Figure 3?

Which behavior might indicate impatience?

How might someone feel when on the receiving end of aggressive behavior?

What kind of reaction involves moving forward physically?

Which term describes a lack of willingness to work together?

Which behavior is NOT typically a reaction to feeling aggressive?

Extend the neck to better expose the trachea to facilitate the procedure.
Palpate the depression over the cricothyroid membrane with the non-dominant hand to locate the site.
Make a 1.5-cm single horizontal stab incision through the skin, subcutaneous tissue, and cricothyroid membrane.
Use a tracheal hook to pick up the cricoid cartilage and provide traction in the caudal direction to stabilize the trachea.
Place a No 4 cuffed tracheostomy tube or a 6.0 cuffed endotracheal tube through the opening.

May exhibit aggressive or defensive behavior, such as jabbing movements, banging, clenching fists, or pacing.
May display resentment or vengefulness.
May become uncooperative.

Three tools used for performing a laryngotomy: scalpel blade 22, percutaneous key-ring device, and steak knife.
Correct placement of a device through the cricothyroid membrane is crucial, as shown in Figure 2.
The cricothyroid membrane is located between the thyroid cartilage and cricoid cartilage, as shown in Figure 2 and Figure 3.