When was the last time you worked a code? If you serve a busy, urban area, or a population heavy on retirees, you probably remain proficient in advanced cardiac life support (ACLS). Drug therapies and dosages, intubation procedures, and post-resuscitation care are part and parcel to busy EMS systems. But what if you work in a slow-paced, rural setting, where the calls are few and far between? What happens to your ACLS skills if you rarely use them? Most likely, you lose them.

As emergency medical professionals, we are continually improving our skills and techniques. And there’s no more critical area than airway management. So, today we’re offering several important websites that provide educational and technical guidance on improving airway management skills in the field.

Respiratory emergencies are among the most critical patients you will encounter as an EMS professional. If the patient is unable to maintain airway patency, or you are unable to correct the underlying issue, there is no hope for his or her recovery. And when these critical situations are compounded by complications in the field, your patient's chances are reduced even further.

Example of edit made in “suggestion mode”. Summer is upon us, and it seems like only yesterday we were dealing with the winter woes of emergency medicine: traumatic injuries from winter sports, an onslaught of influenza as the temperatures plummeted, and the winter doldrums that can lead to depression and anxiety for those predisposed.

Trauma-related respiratory emergencies can be some of the most difficult patient scenarios to treat. Trauma comes in many forms: from blunt to penetrating to blast injuries involving any or many parts of the body. And when the trauma affects the respiratory system, whether through direct impact (oral or facial injuries) or indirectly (pneumothorax or hemothorax), your patient can teeter on the brink of survival.

Treating respiratory emergencies is never easy. And when they are compounded by trauma, they can be downright deadly. So, let's discuss what to look for when it comes to trauma-related respiratory emergencies.

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.

As a paramedic, the most critical treatment you provide is airway management. Whether intubating the patient in cardiac arrest, dislodging an obstruction, or simply assisting respirations, the speed and effectiveness of your treatment can mean the difference between life and death for your patients. So, let’s review three critical airway management steps you can’t afford to miss: assessment, equipment, and intervention.

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.

There is a growing group of people who are passionate about airway management and minimizing the risks of aspiration and its subsequent effects.  An improved technique called Suction Assisted Laryngoscopy and Airway Decontamination (SALAD) has been identified by Dr. James DuCanto.

As an EMS professional, you know that the elderly make up a large percentage of your patients, especially if you work in one of the more common retiree zones (Florida or Arizona, for example). According to the CDC, that number is only increasing. In the last century, our country has seen unprecedented growth in the number of geriatrics. Longer life spans and aging Baby Boomers are the leading factors in this increase, and by 2030, elderly people are expected to account for roughly 20 percent of the U.S. population.¹ Which for you means that the number of geriatric patients you run on each year will only increase.