As a paramedic, you know the most critical task you are called on to perform is managing the airway. Whether your patient is an asthmatic, struggling for breath; a pediatric suffering a partial blockage due to an inhaled object; or an unconscious trauma victim with a blood-clogged airway, the decisions you make and the actions you take will determine whether your patient lives or dies.

With today’s innovative technology, EMS equipment has come a long way. Computers make monitoring, diagnosing, and even documenting a breeze, while cutting-edge materials make equipment lighter, stronger, and safer. Even our portable suction units are modern marvels. They are no longer the clunky, inefficient machines of years past. Now they are smaller; more powerful; and designed for safe, effective use.

Anyone who has ever used a portable suction unit knows the importance of power and reliability. Suction units, like any other piece of lifesaving equipment, must be durable, effective, and able to tackle the most difficult of airways.

Take a deep breath. Now let it out slowly. Do you ever stop to think about the amazing physiological processes that take place within our bodies, each time we take a breath? Breathing is one of many bodily functions we take for granted—that is, until we are unable to breath. Something to think about the next time you treat an asthmatic or choking victim.

The scene is chaotic. You’ve responded to the community pool for a “patient not breathing” and find a young boy, no older than 10, in full cardiac arrest after being pulled from the bottom by bystanders. Good CPR is being delivered, but all eyes are on you as you quickly set up your equipment. As your partner hooks up the monitor, you whip open the portable suction unit to clear the copious amount of water erupting from the patient’s mouth. You flip on the switch and…nothing. You fiddle with the knob, but your suction unit is dead. The crowd stares in horror as you struggle to come up with Plan B.

No matter how long you’ve worked in healthcare, you know there is always room for improvement when it comes to skills. We practice intubation procedures, review drug protocols, and simulate mega-codes, all for the sake of sharpening our techniques and refreshing our knowledge base. In the ever-changing world of medicine, you can never stop learning.

Effective oral and nasal suctioning is a proven lifesaving treatment. When faced with an obstructed airway, due to blood, vomit, or secretions, there is no substitute for suctioning.

We’re all familiar with the proper steps in suctioning, but perhaps it’s been awhile since you’ve performed this vital skill. So, in an effort to enhance patient safety, let’s review some medical suction requirements so that we reduce some of its potential complications.

The start of the new year provides a great opportunity for reassessing your field procedures. Perhaps you are working with new personnel. Or you’ve been promoted to a new position, where you will oversee fellow employees. No matter the degree of change the new year ushers in, it is always a good idea to reflect on your daily treatment regimes. Are they working? Are they efficient? Perhaps some continuing education is in order, or maybe new equipment should be added to your assemblage.

As a healthcare provider, you know the critical role your portable suction unit plays in treating tenuous airways. Whether you’re a flight paramedic, an EMT on an ambulance, or a nurse on a floor, nothing can take the place of an effective suction unit.

So, if you find yourself in need of choosing a new unit for your department or replacing old equipment, here are a few key components you should look for when choosing a quality suction machine.

As a paramedic, you know how important a well-provisioned trauma bag can be. A fully stocked trauma bag enables you to begin treatment immediately, no matter the illness or injury. Bleeding can be controlled with trauma dressings and tourniquets, CPR can be initiated with a bag-valve device, and pneumothoraces can be decompressed with a kit or a well-placed catheter. A good trauma bag is essential.