Airway suctioning is a routine part of a first responder’s job. From preventing aspiration pneumonia to clearing the airway of a drowning victim, the right suction machine is an integral part of your EMS toolkit. Yet many paramedics, EMTs, and other first responders avoid suctioning the airway unless they absolutely have to.

As every paramedic quickly learns, paramedic training doesn’t end with graduation from paramedic school. The realities of high stakes emergencies demand more attention, thought, and flexibility than the theoretical challenges presented in school. But on-the-job experience is not enough. Continuing education allows you to master new skills, remain abreast of current research, and practice skills you use only infrequently at work.

Age, weak muscle tone, chronic illnesses, and changes in the throat and esophagus increase the rate of airway obstructions in the elderly. A 2010 study that used spirometry measures as a clinical indicator of airway obstructions in patients aged 60-93 found an obstruction rate of 22.5 percent. This suggests that many elders live with partial obstructions that compromise overall function and health. When they experience an injury or illness, it’s easy for a partial obstruction to become a life-threatening full obstruction. Here’s what you need to know.