Dr. James DuCanto wants to make one thing clear: he didn’t know what the implications would be when he started the project that would lead to the development of the SALAD technique. The project originally came about as the result of a question, curiosity, and a desire to make a difference. Seeing the rate of first pass failure in intubation among medical professionals, Dr. DuCanto asked himself, “How can I help them do a better job?”

When patients die during or after an aspiration event, it’s often because of the exposure to airway contaminants, not hypoxia. The risk of death increases with the volume of fluid inhaled. This is why diligent, intelligent suction can prove life-saving, especially in someone with limited mobility who is actively aspirating or vomiting. The right suction device quickly clears airway obstructions with a high rate of flow and powerful suction.

Proper airway management in emergency medical settings can be life-saving and may prevent other complications, such as hypoxic brain injuries. Although most paramedics intuitively understand this, the stress of a high stakes emergency can make it difficult to provide skillful, quality care. Complications are common but largely preventable. Here is your quick-start guide to advanced airway management in 2018.

As a paramedic or EMT, your first responsibility in patient care is to secure a patent airway. Whether you are placing an EOA to elevate the tongue of an overdosed patient, suctioning the oropharynx of a trauma code, or inserting an endotracheal tube for a patient who has stopped breathing, a thorough understanding of the structures that make up the respiratory tract is a must. Here is a brief review of airway anatomy to ensure you're ready for the next respiratory emergency.

Chest trauma can produce lethal consequences for your patients. In fact, chest injuries account for between 25-50% of trauma-related deaths worldwide, with early recognition and treatment being one of the primary factors in reducing mortality.¹

Spinal cord injuries are devastating events. In the U.S., most are the result of automobile collisions, but falls, penetrating injuries, and blunt trauma can also cause injury to the spinal cord, leading to a respiratory emergency. It is estimated that there are over 11,000 spinal cord injuries each year in the U.S., the majority (80%) of which affect males around the age of 37.¹ When the injuries involve the cervical vertebrae, specifically the midsection (C3 through C5), they can disrupt the phrenic nerve, which controls movement of the diaphragm, rendering the patient unable to breathe on their own.

Pediatric airway obstruction may be a rare occurrence for EMS responders, but they are a frequent cause of pediatric death worldwide. According to the Mayo Clinic, choking is a common cause of injury and death among children.¹ And it could simply be a matter of time before you are called upon to relieve an obstructed airway or treat a child who is choking.

Responding to pediatric emergencies requires a special approach. From your initial assessment, to diagnosis and treatment, you must tailor your approach by understanding the differences in pediatric anatomy and physiology, the best approach for assessing your patient, and some special considerations when it comes to treatment.

Airway obstruction can be one of the most intensive calls that requires a response from you, the rescuer. Few emergencies require such decisive, immediate action as an obstructed airway. You must recognize the signs, decide on an appropriate course of action, and treat effectively so the obstruction can be relieved and airway patency restored.