One of the most critical scenarios a paramedic will respond to is a respiratory emergency. Respiratory distress can be linked to many underlying medical problems, so it must be recognized immediately, treated proficiently, and monitored continuously. But like any medical emergency, treatment begins with a good assessment.

Obstructive sleep apnea (OSA) is a chronic medical condition that affects a person’s nighttime breathing. This can lead to fatigue, dry mouth, and issues with daytime wakefulness. Sleep apnea also correlates with a higher risk of serious health problems, including stroke, heart attack, respiratory disease, pneumonia, and premature death.

Pediatric airway problems can lead to devastation for families. According to the Pediatric Perioperative Cardiac Arrest (POCA) registry, respiratory events led to 27% of all pediatric perioperative cardiac arrests.

Likely, this is the first traumatic event the child has experienced and causing further distress will only increase the severity of the problem. It falls to responders to keep an open and friendly disposition during these events, making medical care less intimidating. To be able to focus on that type of demeanor, prior education and comprehension of the causes and solutions to these complications is vital to potentially saving a child’s life or preventing long-term harm.

When we think of traumatic injury, we typically envision gruesome wounds: amputations, avulsions, impaled objects, and compound fractures. Any of these injuries can impact the thoracic cavity, but thoracic trauma can also be frighteningly subtle. Let’s explore the various ways the chest can be impacted by trauma and some of the clinical signs that may accompany such injuries. 

Often when we think of the airway, we consider the entire respiratory system, forgetting that the upper and lower airway structures have different anatomies and, thus, are affected by different respiratory issues.

On January 2, people around the nation — be they football fans or not — were stunned by the live images from the Monday night football game, as the Buffalo Bills’ Damar Hamlin collapsed seconds after a tackle. Trainers soon began performing CPR, as it was later revealed the young player’s heart stopped twice on the field and he could not breathe without medical assistance.

Airway management is a necessary intervention in many patient emergencies — from airway compromise to respiratory failure and cardiac arrest. However, depending on how severe the patient’s condition is, and the invasiveness of the intervention, airway management often causes negative effects to patients’ mental and physical health. 

Drug overdoses, sudden injuries, respiratory issues, and myriad other health concerns can trigger cardiac arrest. Cardiac arrest is a leading cause of death, but many of these deaths are preventable. Every year, more than 383,000 cardiac arrests occur outside of hospitals. Bystanders providing CPR immediately can double or triple the chance of survival. The figure is even higher when trained first responders are prepared to perform CPR while managing the airway. Airway management is key to successful CPR, and first responders must have the right equipment ready to go. 

Before the fall of 2022, most people were not thinking much about respiratory syncytial virus (RSV), even though most children get the illness by age 2, and even adults get the disease. But a remarkable surge of RSV cases, coupled with a heavy flu season and ongoing COVID-19 infections, is creating a trifecta of respiratory diseases that is wreaking havoc and pushing hospitals to the limit, and EMTs are seeing an uptick in calls concerning those facing serious symptoms.

Aspiration of pharyngeal or gastric material into the lungs is a significant risk for many patients in the ICU. This may lead to the development of aspiration pneumonia, which can cause serious complications.