1 Airway Management Pakistan ICITAP

2 Learning Objectives  Demonstrate different techniques of Basic Airway Management  Understand the difference between Airway Management and Rescue Breathing  Learn the techniques needed to perform Rescue Breathing

3 The Importance of Airway Management Officers will be exposed to situations where persons, due to injury or illness, will not be breathing or their heart has stopped beating An officer’s knowledge of rescue breathing will often mean the difference between life and death Due of it’s importance, every officer should learn basic rescue breathing and maintain these skills throughout their career

4 Rescue Breathing Rescue breathing must be performed when the victim is not breathing, but has a pulse If ventilation is not given within a few minutes, the victim’s heart will stop due to lack of oxygen

5 Time is Critical! After 4 minutes >>> Brain Damage begins After 10 minutes >>> Brain DEATH certain

6 Rescue Breathing Tap or gently shake the victim. Speak loud and ask, “Are you alright?” Don’t slap the victim’s face If victim is conscious - Do NOT perform Rescue Breathing. Check pulse, treat injuries and observe patient

7 Open the Airway If victim is unconscious - Give bystander direction to call for an ambulance or yell for additional help Position victim on his back on a firm surface. Open the airway by using the head- tilt/chin-lift method. Look into the victim’s mouth, make sure there are no obstructions. If obstruction is observed, use finger to sweep inside of mouth.

8  If you suspect a spinal injury, use jaw thrust method, not the head tilt/chin lift Open the airway Head tilt/chin lift Jaw Thrust

9 Look-Listen-Feel  LOOK for rising chest  LISTEN for sound of breathing  FEEL breath against cheek  Perform this for 10 seconds to determine if the victim is breathing Position of the rescuer’s head

10 Administer two slow breaths, each one lasting 1 ½ - 2 seconds Ventilate mouth-to-mask

11 Ventilate mouth-to-mouth Maintain the casualty’s airway as before Pinch the nose, take a deep breath then seal your lips around his mouth and blow hard enough to make the chest rise

12 Check for 5 – 10 seconds No need to count, just YES or NO pulse Check for a carotid pulse After the initial 2 breaths

13 Check Circulation Check the victim’s pulse by feeling his carotid artery - for 10 seconds. Do not use your thumb Pulse but NO breathing - start rescue breathing NO Pulse and NO breathing - start CPR (Cardio-pulmonary Resuscitation)

14 Locating the carotid pulse

15 Rescue Breathing  If you determine the victim is not breathing but has a pulse, continue with Rescue Breathing  Give one breath every five seconds for one minute  After 12 breaths, recheck to establish if the victim has started breathing on his own  If the victim is breathing on his own, monitor his airway, breathing, and circulation  If the victim is still not breathing and has a pulse, continue Rescue Breathing

16 Ventilations NO breathing with pulse Begin Rescue Breathing Breathing and pulse are present Place in recovery position Observe patient NO breathing and NO pulse BEGIN CPR

17 Review  Demonstrate different techniques of Basic Airway Management  Explain the difference between Airway Management and Rescue Breathing  How do you locate the carotid pulse?  Demonstrate Rescue Breathing

18 Questions?

19 Class Practical Exercise Practice some of the skills shared in this presentation