Endotracheal intubation offers life-saving relief when an airway obstruction endangers a patient’s life. Yet many first responders have little experience with endotracheal intubation, and some actively avoid training opportunities because they feel overwhelmed and intimidated by the process. Endotracheal intubation is a basic skill that every first responder must master.

Every paramedic knows their equipment is only as good as its upkeep. Drugs go out of date, oxygen tanks become depleted, and batteries lose their charge. Unless you remain vigilant, your equipment will fail you when you need it the most. This is especially true of one of your most basic, yet essential tools: your portable suction unit.

Anyone in the medical field can attest to an epidemic sweeping our country: opioid overdose . This lethal condition has touched every region of the US and is now a leading cause of death. It’s been proclaimed a national health crisis. If you're an EMS responder, it is simply a matter of time before you are faced with this situation. 

Pediatric intubation is a frightening scenario for a parent. Thanks in part to differences in children’s airway anatomy, they are more vulnerable to respiratory distress. Your agency must offer regular training on pediatric intubation because the pediatric airway is smaller, more difficult to access, and more susceptible to injury. Knowledge is no substitute for experience, so take every opportunity to practice pediatric intubation.

Difficult airways come as a surprise in 93% of cases, yet most could have been predicted with the right assessment protocols. More than 5% of airways would get a high difficulty score from an assessment. But with the right preparation, the risks plummet.

Suctioning can be life-saving in neonates, particularly those born prematurely and those struggling with the transition from fetus to neonate. Like any medical intervention, it also presents some risks, especially if performed absent medical indication or hastily and thoughtlessly. Identifying the most common neonatal suction catheter complications can help you reduce patient risk, improving care outcomes and potentially saving lives.

Protecting the airway is key to protecting the patient, regardless of the reason for an EMS call. Almost all of the most common EMS emergencies involve risk to the airway. Consider the following common emergencies, and how the airway may be involved:

Aspiration pneumonia is common among seniors, people with dysphagia, and people with chronic breathing disorders. It can also occur during or following surgery, or subsequent to a sudden trauma. Mortality rates vary greatly and rise with patient age and comorbidities, as well as the total volume of aspirated fluids. Among those with emphysema, it may be as high as 20%. Reducing the risk of aspiration pneumonia can save lives, reduce healthcare expenditures, and prevent health system crowding.

Suctioning a patient’s airway is not a “one size fits all” procedure. Whether to clear secretions that the patient cannot mobilize, remove vomitus or foreign materials from the pharynx or trachea, or maintain the patency of an artificial airway, some suction strategies will work better than others for a particular situation.

Respiratory emergencies among the elderly are common. As an emergency responder, especially if you work in warmer climes – such as Florida and Arizona – where many people go to retire, you will frequently be called upon to administer life-saving treatments for those in respiratory distress.