EMT Curriculum

2.03.A - Advanced Airway with Sellick’s Maneuver

Equipment for this station: - BVM and oxygen system - EMT manikin/airway head with ability to be intubated - ET Tube, Laryngoscope, Syringe, stethoscope - ET3 with video laryngoscopy is of special value here (optional)

Precautions:

THE INSTRUCTOR MUST BE ABLE TO INTUBATE A MANIKIN TO RUN THIS STATION

Objectives: •

Demonstrate connecting a BVM to an ET tube. • Demonstrate identifying a displaced ET tube • Demonstrate how to perform Sellick’s Maneuver

Setup: Place the airway manikin in a group of students and have them huddle around. Demonstrate Sellick’s Maneuver (ideally with an ET3 showing the video as it is performed). Intubate the manikin and run the student through attaching the BVM and ventilating.

Instructions to be read to students: “I am going to demonstrate how to work with an ET Tube ALS has placed”

This station is about seeing an ET tube, hooking your BVM to it, knowing when it is in place, and being able to spot a problem with it. You will need to intubate the manikin to be able to run this station. Students should understand the significance of auscultating the epigastrum and bilateral breath sounds. Once they know how to do that, run the through the following mini- scenarios:

“You are transporting an intubated patient to the hospital when the driver hits a pothole very fast and the truck shakes aggressively. You notice that the BVM is a bit harder to squeeze since that happened.”

No breath sounds

No breath sounds

Outcome: Tube in Esophagus – Alert Paramedic

Gurgling

“You are transporting an intubated patient to the hospital when the driver makes a sharp turn and the paramedic bumps into your bagging arm harshly disturbing the tube.”

Clear breath sounds

No breath sounds

Outcome: Tube in Right Mainstem – Alert Paramedic

No sounds

“You are transporting an intubated patient to the hospital when the patient has a violent seizure. The paramedics manage to control the patient with medication. ”

Clear breath sounds

Clear breath sounds

Outcome: Tube is OK – no action needed