This is the trauma endotracheal intubation skill.
The necessary equipment for this skill
is a BVM with oxygen source
airway adjunct
laryngoscope and blades
suction with the appropriate catheter
ET tube and stylet.
capnography device
securement device
and a C-collar.
The recommended PPE for this skill are gloves and eye protection.
Once I have assembled all of the necessary equipment
I'm going to have my partner place and maintain
manual inline stabilization of the patients cervial spine
opening the airway with a jaw thrust maneuver.
I'll measure and assert and airway adjunct.
Apply a pulse oximetry to the patients index finger.
Begin ventilating the patient at a rate of 10 to 12 breathers per minute
allowing for adequate chest rise.
Once the patient is preoxygenated
We are going to remove the airway adjunct
assessing for hypoxia throughout the entire intubation.
Insert the laryngoscope.
Displace the tongue.
Elevate the mandable.
Insert the tube to the proper depth.
Secure the tube by inflating the cuff with a syringe.
Remove the stylet.
and ventilate the patient.
I would then have a third rescuer confirm tube placement
through auscultation of the lungs bilaterally and over the epigastrium.
While I confirm the device is secured through a secondary device
such as end-tidal capnography.
I would then secure the device
and continue to ventilate the patient at an adequate depth and rate
while observing capnography and pulse oximetry.
I would then apply a cervical collar to the patient
and continue with spinal motion restriction.