Insert an Oropharyngeal Airway
Learn the history of the oropharyngeal airway (OPA) and review how to size the OPA for the patient, as well as the correct way to insert this basic, and effective, airway adjunct.
Assessing Acute Shortness of Breath
Shortness of breath, or dyspnea, results from air hunger, a sensation that you’re not getting enough air. Here’s how to spot a patient with increased work of breathing, an important assessment for an EMS provider evaluating a patient with dyspnea.
Where Pressure Meets the Patient: Proper Mask Application for Noninvasive Ventilation
On the go? Listen to the article in the player below! When applying a device to deliver noninvasive ventilation (e.g., CPAP or BiPAP) to a patient, many providers forget to pay attention to one of the most critical aspects of using these lifesaving devices: the mask...
Breathe It All In
Thorough Assessment is Crucial in Patients with Respiratory Distress By Dennis Edgerly A 48-year-old male sits in his bedroom, sitting up and leaning forward. As you approach him, he tells you he can’t catch his breath. He’s in obvious distress, but is able to tell...
Common Conditions Misdiagnosed as Asthma
By Dennis Edgerly, EMT-P | Paramedic Education Coordinator
As you enter the house your patient looks at you anxiously. He’s sitting upright, leaning forward. You note circumoral cyanosis and obvious respiratory distress as he attempts to speak. As you approach, you place him on oxygen with no relief. Upon auscultation of his chest, you note wheezing throughout his lung fields. You and your partner begin to administer a common bronchodilator albuterol when you remember — all that wheezes is not asthma.
A Modern Approach to Basic Airway Management
By Andrew Merelman, BS, NRP, FP-C , Richard Levitan, MD, FACEP
You arrive on scene and find a 68-year-old man is lying on the couch with difficulty breathing. He’s obese and obtunded, with severe respiratory distress. His wife tells you he has a history of congestive heart failure. He appears pale and diaphoretic, with snoring, slow, shallow breaths and his initial oxygen saturation is 72%. What are the most important first steps in managing his airway and breathing?
Recent Comments