2015 Trumbull Memorial Hospital Demo

Pediatric Airway Pediatric Airway

S/S of respiratory distress or failure

Respiratory Distress  Tachypnea  Dyspnea / retractions  Adequate Tidal Volume  Pallor Respiratory Failure  Dyspnea / retractions  Inadequate Tidal Volume -and/or-  Inadequate Rate  Cyanosis

Assess

Respiratory Distress

Respiratory Failure

High Flow O2

Continued Respiratory Distress?

BVM

Yes

Troubleshoot  Abdominal thrusts  Direct laryngoscopy with Magills  Intubation last resort

No

Yes

Airway Obstruction

Transfer to pediatric center

BVM Effective?

No

Yes

Transport Time Short?

Potential brain injury?

No

Transfer to closest facility

Ineffective BVM:  Reposition Airway  Verify mask size  Check O2 source  Check Bag/Mask  Treat gastric distention

No

EGD/ETI

Secure with tape ETCO2

Yes

Properly placed?

No

Troubleshoot with DOPE:  Dislodged  Obstructed  Pneumothorax  Equipment failure

92

EMR

EMT

AEMT

Paramedic

Extended