As an EMS responder, you know how important a well-stocked trauma bag can be to the smooth running of emergency scenes. When you’re involved in the rapid, complex stabilization of a trauma patient, there’s nothing better than knowing that every piece of equipment you need is right within arm’s reach. A variety of dressings, assessment tools, and personal protection gear are all critical inclusions in your trauma bag. But none is so imperative as airway equipment, for without a patent airway, nothing you do for your patient will really matter. 

Distracted driving is responsible for about 3,000 deaths each year. Knowing how to treat patients in such crises and paying special attention to potential airway problems is essential for providing proper care. 

 While tachycardia can be a sign of respiratory distress, it also can be a complication of interventions to treat respiratory distress, including suctioning. First responders and medical providers must have a clear understanding of the link between tachycardia and suctioning so that they can reduce the risk of patient injuries and improve both long- and short-term outcomes.  

 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. 

There is perhaps nothing more terrifying to new parents than breathing problems in an infant. Particularly among newborns, respiratory distress is a common and potentially life-threatening symptom. Key differences in the airways of infants and children make them more susceptible to certain respiratory problems. A keen understanding of upper airway anatomy can help you quickly and safely treat infants in respiratory distress. 

 The patient has suffered a gunshot wound to the chest, and his blood pressure is dangerously low. You’ve covered the entry wound to prevent a sucking wound, but the patient is exhaling copious bloody froth. You successfully intubate the patient and are bagging, with good chest rise, but the bloody froth continues to interfere with air exchange. It’s time to suction the tube.  

 Every patient is unique, and expert airway management demands a critical, creative, adaptive approach. However, first responders should follow established protocols and guidelines to get the best results. A simple algorithm can help guide decision-making in airway management while still allowing room for flexible problem-solving. Follow these guidelines to speed up treatment and reduce errors if you encounter a difficult airway: 

Many unexpected symptoms can stem from common traumas and accidents, and individuals often suffer significant airway damage from traumatic events. Around the world, injuries such as car accidents, gunshot wounds, and concussions account for more than 3 million non-fatal injuries annually. These common trauma scenarios can happen to anyone. 

 You are about to head out on a call for a 65-year-old man who is reported to be suffering from sudden respiratory distress. Few details are known about this man’s medical history, so you aren’t entirely sure what you are about to encounter. You grab your First In bag, knowing that your airway management tools mean you’re well–prepared for any airway emergency. 

 Sooner or later, every first responder encounters a difficult airway. Training for these scenarios is critical for improving patient care and reducing first responder frustration and burnout. There’s no substitute for lived experience, critical feedback from experienced providers, and drills that mimic real-world situations. And keeping these five tips in mind can help you more effectively treat difficult airways.