Prehospital protocol pediatric respiratory failure: Difference between revisions

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=Airway obstruction?=
=Airway obstruction?=
*Assess for history or concern for foreign body causing airway obstruction
*Assess for history or concern for foreign body causing airway obstruction
==Yes==
==[[Prehospital protocol pediatric airway obstruction|Yes]]==
[[Prehospital protocol pediatric airway obstruction]]
 
==No==
==No==
===Begin BVM===
===Begin BVM===
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*Reposition Airway
*Reposition Airway
*Check correct mask size
*Check correct mask size
*Place OPA
*Place [[OPA]]
*Check for gastric distention
*Check for gastric distention
===Is BVM effective?===
===Is BVM effective?===
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*Monitor and transport
*Monitor and transport
====No====
====No====
=====Place iGel=====
*Place endotracheal tube or supraglottic airway
*If iGel is not available or if unable to oxygenate/ventilate place ET Tube
=====Is there effective oxygenation and ventilation?=====
=====Is there effective oxygenation and ventilation?=====
Assess:
Assess:

Latest revision as of 05:26, 27 December 2016

Airway obstruction?

  • Assess for history or concern for foreign body causing airway obstruction

Yes

No

Begin BVM

If BVM is not effective perform the following:

  • Reposition Airway
  • Check correct mask size
  • Place OPA
  • Check for gastric distention

Is BVM effective?

Yes

  • Monitor and transport

No

  • Place endotracheal tube or supraglottic airway
Is there effective oxygenation and ventilation?

Assess:

  • ETCO2 Reading
  • Misting in tube
  • Equal breath sounds
  • Direct visualization of the cords if ETT used.
Yes
  • Monitor and transport
No

Check airway device

  • Tube dislodged?
  • Tube obstructed?
  • Pneumothorax?
  • Equipment failure?

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