There is no doubt that we have witnessed many tragic events over the last 12 months. From the recent events in San Bernardino, to the shooting at the Charleston Church, to the attack at the Planned Parenthood clinic in Colorado, the devastation caused by mass shootings is apparent. The November attacks in Paris also reminded us that such tragedies occur globally.

You are dispatched to a “patient unconscious” and arrive on scene to find an obese man in his mid-50s, unresponsive and apneic. As his wife is describing his extensive cardiac history, the man goes into cardiac arrest and you initiate resuscitation. He is asystolic, so you immediately turn to drug therapy, only he has no veins to speak of. Your only option for drug therapy is through the endotracheal tube, which is also the best means of securing his airway, so you set up your equipment, have the suction unit close by, and position yourself for intubation. It’s not going to be easy.

You have been given the “go-ahead” to purchase new portable medical suction for the hospital within an  allocated budget. Since you want to make a wise and informed decision, let’s take a look at some of the most important factors to consider before buying new suction machines.

Airway management is one of the most vital aspects of patient care and can range from basic adjuncts to complex interventions. Whether the patient is an overdose, in cardiac arrest, or the victim of multisystem trauma, the first step in treatment and stabilization is securing a patent airway. And fortunately, there are an array of choices for paramedics in the prehospital setting.

Your current portable suction devices aren’t performing as they should.  You notice the battery life is short, the suction is weak, and they are seemingly unreliable. Because you are concerned about patient safety, you suggest to your manager that the hospital should purchase some new devices. What you soon learn, however, is that medical equipment at the hospital isn’t just purchased because an employee thinks it is needed.  Instead, there needs to be planning, budgeting, and approval for all new equipment.

In today’s changing healthcare environment, hospital spending is being closely monitored. With so much attention on the bottom line, allocating funds for new equipment is not something that is taken lightly. Often a committee of members from various disciplines is used to make purchasing decisions.

The call was to a shooting; no other information was provided. You arrive to find a gunshot wound to the mouth, self-inflicted, the shotgun still warm, the patient still conscious. A last minute flinch sent the blast careening through the patient’s cheek – a survivable wound, if you can keep the airway clear. But with heavy bleeding and massive tissue destruction, maintaining a patent airway is going to be tricky. You better have your suction ready.

From a large metropolitan teaching hospital to a rural medical center with less than 100 beds, it is clear that resources can vary greatly between patient care facilities. Small hospitals often face extra challenging circumstances, including limited workforce, physician shortages and decreased available funding to make infrastructure and equipment improvements. Yet despite these challenges, according to the American Hospital Association, 51 million Americans still rely on small, rural hospitals for their care.  What are some things small hospitals can do to ensure delivery of vital services on a modest budget?

Patients are routinely transported to various locations within the hospital, but that doesn’t mean it is without risk.  Regardless of whether a transport is emergent or non-emergent, careful thought should be given to the process, so that the patient is provided with a consistent and safe level of care.

Pediatric emergencies are some of the most challenging calls to which paramedics respond. And when the emergency involves the respiratory system - whether medical, traumatic, or obstructive - literally every second counts. The first step in pediatric airway management is securing a clear passageway. Therefore, medical suction is a crucial link in the treatment chain. But clearing a child’s airway is not the same as clearing that of an adult. Smaller jaws, larger tongues, shorter necks, and more anterior tracheas dictate extra care when suctioning the pediatric airway and the equipment you choose makes a difference.