Advanced Airway Case Study

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Advanced Airway C2601064 / Version 1 01 Mar 2010 1. Learning Step / Activity 1. Supplemental Oxygen A. Oxygen cylinders (1) The currently fielded oxygen cylinder is a steel “D” size tank. Some are aluminum. It contains approximately 288 liters of usable oxygen. (2) Medics must be able to manage their oxygen tank use to ensure they do not run out during patient care, especially during transports. (3) Oxygen tanks require special considerations in a tactical environment. a) Tanks are susceptible to damage from blasts (tank or post distortion, tank penetration, post separation, flame). b) If the post is broken off, the tank will take-off like a rocket and become a potentially-lethal projectile.…show more content…
Nail polish may also interfere with PsO2 readings. For combat casualties, oxygen saturation should be kept above 92%. CHECK ON LEARNING: 1. How long will an oxygen tank last with 2,500 psi running at 8 lpm? 2. What can cause false pulse oximetry readings? | | | 2. Learning Step / Activity 2. Nasopharyngeal Airway A. Nasopharyngeal Airway (NPA). (1) The properly-sized NPA passes through the nare into the hypopharynx and prevents the relaxed tongue from occluding the airway in an unconscious or obtunded (semi-conscious) casualty. (2) Indications: Casualty any level of consciousness with or without gag reflex and spontaneous respirations. (3) Contraindications. A head injury with roof of mouth fracture; the airway may inadvertently enter the cranial vault with this type fracture resulting in brain injury. (4) Complications. (a) The most common complication is minor tissue trauma (i.e. nosebleed); this however, is not sufficient indication to remove the

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