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.

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.

Respiratory emergencies come in many forms. It could be an asthmatic who has suffered since childhood; a COPD patient who still smokes a pack a day; or a near-drowning who was pulled from the deep end of the pool. Whatever the crisis, as an emergency responder you are called on to treat it. 

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.

Over the years, anesthesia has become increasingly common in most surgical procedures — even minor ones. In fact, approximately 40 million surgical procedures utilize an anesthetic each year. Some procedures, such as dental extractions and implants, require anesthesia, regardless of the patient’s preference. 

A number of things, including allergies, a minor cold, and the flu can all cause airway discomfort. And complications from these usually minor conditions can be dangerous, especially in vulnerable people such as elders and children. Also, serious conditions such as aspiration, partial obstructions, pneumonia, and other disorders may also trigger airway discomfort. As a first responder, it’s important to know when airway discomfort is a sign of a serious problem, or just a passing symptom. 

The ABCs of patient care begin with the airway. Does your patient have airway patency? Can your patient maintain his or her own airway? Are there any obstructions or contaminants obstructing the airway? Questions like these are likely second nature to you, and you probably don’t even realize you are asking them when caring for your patients.