Practical Testing must be done with the Physician Advisor (or another Physician of his / her choosing)
Objectives Describe the anatomy and function of the upper and lower airways Describe respiratory volumes and capacities in relationship to the need for assisted ventilations Identify the specific observations and physical findings commonly found in patients presenting in respiratory and/or cardiac arrest. Identify the basic principles of airway management
Objectives (contd) Describe the indications for suctioning. Identify rigid and flexible suction catheters and the indications for use. Identify indications and contraindications for use of the PEADs. Identify the advantages and disadvantages of using PEADs.
Objectives (contd) Identify those situations in which PEADs may be removed. Demonstrated placement of PEADs. Demonstrate methods of assuring and maintaining correct placement of PEADs. Demonstrate re-ventilation for missed placement of PEADs.
Objectives (contd) Demonstrate on a manikin the proper technique for the use and maintenance of the following airway adjuncts: Nasal cannula Non-rebreather mask Bag-Valve-Mask Demonstrate sterile suctioning techniques on a manikin with a PEAD in place.
Physiology of Respiration Define Respiration The exchange of gases between a living organism and the environment Define Ventilation Mechanical Process that moves air in and out of the lungs
Muscles of Breathing Intercostal Muscles Diaphragm
Regulation of Respiration Where is the Respiratory Center Controlled? Brainstem Medulla Apeustic Center (pons) Pneumotaxic center (pons) Stretch receptors Hering-Breuer reflex Chemoreceptors CSF Blood
Voluntary or Involuntary Both Humans can override bodys urge to breathe But only for so long
Maintaining the A in ABC Patient positioning Suctioning Supplemental Oxygen Mechanical Assistance
Pulse Oximetry Measures amount of oxygen in the blood. Gives percent of hemoglobin saturated Tool only, do not rely on totally Why? Normal Values 95% - 100% Normal 90% - 95% - Mild – Normal for COPD < 90 % Moderate – High Flow Oxygen
End-Tidal CO2 Detection Measured Colorimetric and Digital Tool to aid in determining correct placement
Assessing the Patient First Steps of CPR Annie, Annie You Okay? Other Signs and Symptoms Unconsciousness Cardiac Seizure Agonal respirations or apnea Cyanosis, Ashen, Mottled No signs of spontaneous respiration or circulation No Pulse