1. Airway Management + Foreign Body Aspiration Aaqid Akram MBChB (2013) Clinical Education Fellow

2. Objectives Understand basic anatomy of airway Recognise an obstructed airway Simple management techniques to improve airway Simple adjuncts to maintain airway Recognise need for definitive airway Understand how to insert a definitive airway Be able to follow the choking algorithm

3. Larynx

5. Obstructive Airway Snoring Choking Gurgling Stridor Hoarseness Silent Paradoxical ‘see-saw’ chest movement Cyanosis / hypoxia

6. Choking Algorithm Assess Severity Severe (Ineffective Cough) Unconscious CPR Conscious 5 Back Blows 5 Abdominal Thrusts Mild (Effective Cough) Encourage Coughing

7. ETT (Definitive Airway) LMA / iGel Simple Airway Adjunct OropharyngealNasopharyngeal Head Tilt + Chin Lift / Jaw Thrust Clear visible airway obstruction

8. When is a definitive airway required? Airway Protection – GCS<8 – Severe maxillofacial / Multiple Trauma – Aspiration Risk – Airway obstruction risk – Head Injury with abnormal mental status Ventilation and Oxygenation – Respiratory arrest – Respiratory failure – Need for prolonged ventilatory support – Class III or IV Haemorrhage with poor perfusion – Severe Chest Injury – Severe Closed Head Injury (GCS<8)

9. Have a read of this… http://airway.jems.com/2011/04/intubation- 101/ http://airway.jems.com/2011/04/intubation- 101/

10. Objectives Understand basic anatomy of airway Recognise an obstructed airway Simple management techniques to improve airway Simple adjuncts to maintain airway Recognise need for definitive airway Understand how to insert a definitive airway Be able to follow the choking algorithm