6 PracticalTesting must be done with the Physician Advisor (or another Physician of his / her choosing)
7 ObjectivesDescribe the anatomy and function of the upper and lower airwaysDescribe respiratory volumes and capacities in relationship to the need for assisted ventilationsIdentify the specific observations and physical findings commonly found in patients presenting in respiratory and/or cardiac arrest.Identify the basic principles of airway management
8 Objectives (cont’d) Describe the indications for suctioning. Identify rigid and flexible suction catheters and the indications for use.Identify indications and contraindications for use of the PEAD’s.Identify the advantages and disadvantages of using PEAD’s.
9 Objectives (cont’d)Identify those situations in which PEAD’s may be removed.Demonstrated placement of PEAD’s.Demonstrate methods of assuring and maintaining correct placement of PEAD’s.Demonstrate re-ventilation for missed placement of PEAD’s.
10 Objectives (cont’d)Demonstrate on a manikin the proper technique for the use and maintenance of the following airway adjuncts:Nasal cannulaNon-rebreather maskBag-Valve-MaskDemonstrate sterile suctioning techniques on a manikin with a PEAD in place.
12 Respiratory Anatomy & Physiology General function of the respiratory systemRemove carbon dioxide from the bloodTransfer oxygen into the blood
13 Function of the Respiratory System Removes carbon dioxide from the bloodTransfers oxygen to the blood
14 The Upper Airway A B C D E F G H Epiglottis Mandible Frontal Sinus Soft PalateTracheaGlottisEsophagusVocal CordsStructures: Nose, Nasopharynx, mouth, oropharynx, hypopharynx, larynx, epiglottisFunctions: Passage way for air, warms, humidifies, filters, protection – gag reflex & cough, speech
15 The Upper Airway Other Structures Functions Nasopharynx Oropharynx HypopharynxLarynxFunctions
16 Functions of the Upper Airway Passageway for airWarmFilterHumidifyProtectionGag ReflexCoughSpeech
17 The Lower Airway Primary Bronchi Hyoid Bone Right Lung FGHIJPrimary BronchiHyoid BoneRight LungSecondary BronchiTracheal LigamentTracheaLarynxEsophagusLeft LungTrachea, main stem bronchi, secondary bronchi, bronchiolusFunction: Air passage, gas exchange, warm and humidify
33 Maintaining the A in ABC Patient positioningSuctioningSupplemental OxygenMechanical Assistance
34 Pulse Oximetry Measures amount of oxygen in the blood. Gives percent of hemoglobin saturatedTool only, do not rely on totallyWhy?Normal Values95% - 100% Normal90% - 95% - Mild – Normal for COPD< 90 % Moderate – High Flow Oxygen
35 End-Tidal CO2 Detection MeasuredColorimetric and DigitalTool to aid in determining correct placement
60 Assessing the Patient First Steps of CPR Annie, Annie You Okay? Other Signs and SymptomsUnconsciousnessCardiac SeizureAgonal respirations or apneaCyanosis, Ashen, MottledNo signs of spontaneous respiration or circulationNo Pulse