Workshop Objective:
To equip healthcare professionals with the fundamental skills and knowledge required for the effective management of the airway in emergency and critical care situations, including the use of basic airway devices, patient assessment, and initial airway interventions.
Target Audience:
Primary Target: Healthcare professionals who are involved in the initial management of patients with airway concerns, particularly in emergency and critical care settings.
Emergency Medicine Physicians
Emergency Medical Technicians (EMTs) and Paramedics
Critical Care and ICU Nurses
General Practitioners (GPs)
Medical Students and Residents (Emergency Medicine, Critical Care, Surgery)
Anesthesiologists in training
Understanding the Importance of Airway Management:
The role of airway management in preventing hypoxia and ensuring adequate ventilation
The basic anatomy and physiology of the upper and lower airway
Types of Airway Obstruction:
Anatomical vs. mechanical obstruction
Common causes of airway obstruction: Foreign bodies, trauma, anaphylaxis, edema, and infections
Assessment of the Airway:
Airway assessment tools (e.g., Mallampati classification, 3-3-2 rule, physical exam findings)
Signs of airway compromise: Stridor, labored breathing, cyanosis, altered mental status, and changes in vitals
Basic Airway Maneuvers:
Head-Tilt Chin-Lift: Indication and technique for opening the airway in an unconscious patient
Jaw-Thrust: Indication and technique, particularly in trauma patients or suspected spinal injury
Positioning: Appropriate positioning of patients to maintain the airway (e.g., recovery position, lateral decubitus)
Oropharyngeal Airway (OPA):
Indications, contraindications, and proper insertion technique
Sizing an OPA and troubleshooting common issues (e.g., gagging, discomfort)
Nasopharyngeal Airway (NPA):
Indications, contraindications, and insertion technique
Sizing and troubleshooting (e.g., nasal trauma or resistance)
Oxygen Delivery Devices:
Nasal Cannula, Simple Mask, Non-Rebreather Mask: Indications, flow rates, and oxygen concentration
Bag-Valve Mask (BVM): Technique, indications, and correct positioning
Humidified Oxygen Therapy: When and why it’s used, and how to set it up
Endotracheal Tube (ETT) Overview:
Indications for endotracheal intubation
Basic principles of intubation, anatomy, and physiology
Equipment required for intubation: Laryngoscope, ET tubes, stylets, and suction
Manual Ventilation with BVM: Practice using a bag-valve mask for adequate ventilation and ensuring proper mask fit
Common Complications and Troubleshooting:
Failure to Ventilate: Causes and solutions (e.g., airway obstruction, inadequate seal, equipment malfunction)
Failure to Intubate: Recognition and alternative strategies (e.g., laryngeal mask airway (LMA), supraglottic devices)
Airway Trauma: How to manage airway injuries (e.g., lacerations, fractures) while maintaining the airway
Aspiration Risk: Prevention and management of aspiration during airway management
Recognizing and Managing Signs of Inadequate Ventilation:
Tachypnea, desaturation, increased work of breathing, and absent breath sounds
Practice with Airway Management Equipment:
Demonstration and practice of basic airway maneuvers (head-tilt chin-lift, jaw-thrust, recovery position)
Hands-on experience inserting OPA and NPA on manikins, with feedback on technique
Practice with Bag-Valve Mask (BVM) ventilation, ensuring proper seal and ventilation technique
Simulated Scenarios:
Participants work in small groups to practice airway management in simulated clinical scenarios (e.g., unresponsive patient, trauma case, respiratory distress)
Each participant gets the chance to apply techniques in controlled, high-fidelity simulations with real-time feedback
Airway Management in Trauma:
Specific considerations for airway management in trauma patients (e.g., cervical spine precautions, facial fractures)
Use of the jaw-thrust maneuver in trauma cases
Pediatric Airway Management:
Differences in pediatric anatomy (e.g., larger tongue, smaller airways, more compliant chest)
Age-based equipment sizing and special considerations for pediatric patients
Airway management techniques in infants and children
Pregnancy and Airway Management:
Anatomical changes during pregnancy and their effect on airway management
Key considerations for intubation and ventilation in pregnant patients
Recap of Key Concepts:
Review of airway assessment, techniques, and devices
Open floor discussion for questions
Evaluation of Skills:
Participants demonstrate learned skills (OPA/NPA insertion, BVM ventilation, etc.) in a controlled environment
Feedback and final Q&A
Learning Methods:
Lectures and Demonstrations: Provide theoretical knowledge with visual demonstrations of airway management techniques.
Hands-On Practice: Allow participants to practice airway maneuvers and techniques using manikins and simulators.
Simulated Scenarios: High-fidelity simulations for real-world application of skills and management strategies in various clinical settings.
Q&A Sessions: Encourages participant engagement and clarification of any doubts or challenges faced in clinical practice.
Key Learning Outcomes:
By the end of the workshop, participants will be able to:
Assess and manage an airway in an emergency or critical care setting.
Safely perform basic airway maneuvers, including head-tilt chin-lift, jaw-thrust, and positioning.
Utilize basic airway devices such as OPA, NPA, and Bag-Valve Mask (BVM) effectively.
Troubleshoot common airway management challenges and complications.
Handle airway management in specific populations such as trauma patients, children, and pregnant women.
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2 Comments
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