Airway Management Practical Tactical Combat Casualty Care for All Combatants.

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Presentation transcript:

Airway Management Practical Tactical Combat Casualty Care for All Combatants

Is the Casualty Responsive? If the casualty appears to be unconscious, see if he will respond. In a loud, but calm, voice, ask something simple like: “Are you okay?” Also, gently shake or tap the casualty’s shoulder. If the casualty does not respond, your next move is to make sure he is breathing.

Opening the Airway If a casualty is not breathing or is having difficulty breathing, open his airway using either the head tilt/chin-lift or jaw thrust maneuver. – Even if an unconscious casualty is breathing on his own at the moment, protecting his open airway will assure his ability to continue breathing.

Head Tilt / Chin Lift Place one hand on the casualty’s forehead and apply firm, backward pressure with the palm to tilt the head back. Place the fingertips of the other hand under the bony part of the lower jaw and lift, bringing the chin forward. The fingers should not press deeply into the soft tissue under the chin because this may obstruct the airway. 4

Jaw Thrust Position yourself at the casualty’s head with your elbows on the surface on which the casualty is lying. Using both hands, grasp the angles of the casualty’s jaw, and lift the jaw. Keep the casualty’s head from tilting backwards or moving sideways. 5

Maintain an Open Airway Maintain Head-Tilt/Chin-Lift or Jaw Thrust Look, Listen, and Feel for breathing. Count respirations for 30 seconds and multiply by 2. Remove any foreign matter from mouth. An NPA is the next step.

Nasopharyngeal Airway

Do not use the nasopharyngeal airway (NPA) if there is evidence of head trauma and the roof of the casualty's mouth shows signs of trauma. Do not use the nasopharyngeal airway if there is evidence of head trauma and clear fluid is coming from the ears or nose. Nasopharyngeal Airway

Place the casualty on his back. Remove the NPA and its lubricant from the casualty’s JFAK. Lubricate the tube Nasopharyngeal Airway

Insert the tip of the airway into either nostril with the bevel facing the nasal septum. – Align the NPA perpendicular to the face and go straight in. – Do not follow the ridge of the nose upward toward the brain. Advance the NPA until the flange rests against the nostril. – If you meet resistance, try gently rotating the NPA a little. – If that doesn’t work, try the other nostril. Tape the NPA in place to prevent migration. Nasopharyngeal Airway

12 Nasopharyngeal Airway

If you can’t get the NPA to pass fully into either nostril, put the casualty in the recovery position and seek medical help. A medic or corpsman will have to attempt a more advanced airway. Nasopharyngeal Airway

Questions?