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. 

Precision and skill is required for Advanced airway management, especially in vulnerable patients. When performed correctly, initiating nasopharyngeal airways is very safe—and much safer than the alternative of doing nothing. Many first responders are reluctant to initiate a nasopharyngeal airway, citing fears of complications. But this route can enable intubation in patients with an intact gag reflex. Proper training can promote greater confidence, so don’t let fear deter you from practicing this life-saving technique. Forewarned is forearmed, so let’s look at some potential complications. 

Airway obstructions are a common emergency, especially among pediatric and geriatric patients. Choking is a common hazard and a prominent cause of childhood death and injury among children under age four claiming at least one child’s life every few days. In the case of geriatric patients, the risk of airway obstructions due to chronic obstructive pulmonary disease (COPD), pneumonia, and airway injuries greatly increases with age. The airway also becomes more fragile as a person gets older, making it more difficult to treat airway issues. A number of techniques can open an obstructed airway, but the right technique depends on the reason for the obstruction.

It’s a dramatic plot twist in movies, medical dramas, and even the occasional sitcom: A character is choking or in respiratory distress and standard interventions like the Heimlich maneuver just aren’t cutting it. So a heroic bystander takes things into their own hands and jams a pen into the victim’s throat, much to everyone’s horror. But then, to everyone’s shock and relief, doing so clears the airway, allowing the survivor to breathe until help arrives. But can you really do this?