Airway Management, Emergency Interventions, and Immobilization

Vocabulary flashcards covering emergency airway maneuvers, airway adjuncts, suctioning, BVM, arterial tourniquets, box splinting, and C-spine management based on the lecture notes.

Jaw Thrust

The preferred airway maneuver for patients with a suspected c-spine injury, cardiac arrest, or deep unconsciousness that lifts the tongue away from the back of the throat.

Head-Tilt-Chin-Lift

The preferred airway maneuver for temporary moves (such as in an MCI), performed in adults by tilting the head back as far as possible without force, and in infants by tilting to a neutral position with no extension.

Sniffing Position

Standard airway position for patients in cardiac arrest or requiring manual ventilations, suctioning, airway adjuncts, or intubation; achieved by placing towels to align the tragus of the ear with the sternal notch, keeping the face parallel to the ceiling.

Recovery Position

Position used for patients who are actively vomiting or have a lower level of consciousness (high risk of vomiting, regurgitating, or aspirating) while allowing the use of airway adjuncts and suction.

Oropharyngeal Airway (OPA) Contraindications

Conscious patients and semi-conscious patients with an active gag reflex.

Nasopharyngeal Airway (NPA) Indications

Indicated when an OPA cannot be inserted due to oral cavity damage, trismus, or gag reflex; can also be used in conjunction with an OPA.

Nasopharyngeal Airway (NPA) Contraindications

Severe maxillofacial trauma and nasal trauma.

Suction Contraindications

Do not suction saliva and do not suction pulmonary oedema fluid.

Suction Vagus Nerve Complications

Stimulation of the vagus nerve during suctioning, which can cause hypotension and bradycardia.

Bag Valve Mask (BVM) Indications

Patients requiring high flow oxygen, assisted or controlled ventilations, or PEEP (positive end-expiratory pressure).

MOANS

Mnemonic for BVM complications and difficult mask ventilation: Mask seal; Obesity, obstruction, obstetrics; Age; No teeth; Stiff lungs, stacked breaths.

Arterial Tourniquet Time Requirement

The requirement to strictly document the exact time of tourniquet application.

Tourniquet Crush Injury Rule

For crush injuries that have been compressed for longer than $60\,\text{mins}$, a tourniquet must be applied prior to release.

Box Splint Indications

Fractures or dislocations located at the elbow, hand, wrist, radius/ulna, around the knee joint/patella, tibia/fibula, or ankle.

Clearing C-Spine Criteria

Normal level of Alertness, NO severe posterior midline tenderness, NO signs and symptoms of an SCI, and NO distracting injuries or pain.

Signs and Symptoms of SCI

Paraplegia, quadriplegia, significant loss of sensation, and significant loss of limb strength.

Firm C-Collar Indications

Indicated ONLY when C-spine cannot be clinically cleared, AND there is significant posterior midline tenderness, AND there are signs and symptoms of an SCI.

Firm C-Collar Contraindication

Unconscious patients.