Awesome

In: Science

Submitted By paulsheehan1124
Words 585
Pages 3
You are called to a scene of a 50 year old male who was thrown from his motorcycle on a nice fall afternoon. The man is barely alert and cannot maintain his own airway. The first responders are assisting with ventilations but he doesn’t seem to tolerate ventilations via bag valve mask. His blood pressure is 110/60, pulse rate of 50, with snoring respirations at a rate of 6 breaths a minuet that are very shallow. With an Oxygen saturation of 80%. He is extremely hypoxia and needs an advanced airway his jaw is clenched tightly and impossible to inset a tube. You decide to prepare for intubation, but first decide a dose of Versed at 1.5mg to open his clenched jaw and will take effect while you prepare all equipment. Using a jaw thrust maneuver you open his airway and visualize that an ET tube is appropriate and viable. You prepare 100mg of succinylcholine estimating the man’s weight is 100kg as a sedative. After administering the drug you will have your partner aggressively monitor vital signs. You now use a laryngoscope and blade to open the epiglottis and hold the tongue for clear visualization. You choose an 8mm diameter tube to insert and you’ve already made sure the balloon inflates with a 10ml syringe. Lubricant will assist in tube placement as well as putting a slight bend in it prior to intubation.
The tube is then slid along the right side of the mouth and visualized entering 1/2 to I inch into the vocal cords. Make sure you do not take your eyes off the vocal cords once you see them. If you need something have it passed to you by your partner. Watch the tube pass through the cords. A helpful trick is to vocalize what you see and what you are doing to ensure proper technique. The laryngoscope is removed and the balloon at the end of the tube is inflated using the syringe. Then the tube is secured to the patient with either a strap or tape. The next…...

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