If you were to design the ideal portable suction machine for emergency medical situations, what characteristics would you choose? The equipment used by EMS professionals takes a beating on a regular basis. Emergency calls happen in the most inopportune locations at any time of the day or night. The tools must be designed to withstand inclement weather, temperature extremes, and the rough-and-tumble arena of prehospital medicine. And when it comes to something as vital as your portable suction machine, there's no room for error. Let’s look at some important criteria when choosing the ultimate suction machine.

When faced with the challenge of transporting someone in respiratory distress, emergency responders should be able to identify the symptoms and remain prepared to spring into action with the right procedures and equipment.

In 2022, there were 647 mass shootings, and as of mid-year 2023, there have already been more than 300. Tactical medical response requires a different skill set and approach than that required when an elder falls, or a child has a choking episode. Tactical medical injuries are high-stakes, and first responders must provide prompt care in a high-stress environment where split-second decisions can be a matter of life and death.

Suctioning a trach tube can help keep tracheostomy patients healthy, clear the airway, and reduce the risk of serious infections. Many trach patients are able to suction their own tubes at home. Some need the assistance of medical providers, especially when they are hospitalized, suffering respiratory distress, or have other comorbidities. Here’s what you need to know about trach tube suction. 

If you could design your own airway bag, what would you put in it?

The longer we work in the field, the more we develop habits and preferences that find their way into our daily routines. You carry certain tools on your belt or in your pouch; you set up for an IV or an intubation using a set pattern; and you place everything in a specific spot so that you can grab it in a rush. 

When you’re a paramedic, every shift can present a range of medical emergencies. Myocardial infarctions (MI), strokes, traumatic injuries; you must be ready for anything. And any one of these patients can devolve into a critical suction scenario. The MI may lapse into cardiac arrest; the stroke may render swallowing ineffective; and the trauma patient may have facial injuries producing copious blood in the mouth. You must have suction at the ready for every patient. Your priority is always a patent airway.

The critical aspect of suction readiness is having procedures in place that ensure you are prepared. So let's discuss some of the aspects of emergency suction procedures for paramedics.

Head and neck injuries are very common during emergency calls, particularly following a vehicle crash, fall, or another trauma that affects the upper portion of a patient’s body. Those who suffer such injuries, beyond the potential for long-term skeletal, muscular, or neurological issues, also carry a high risk for a range of airway issues or crises. If a responder is not able to resolve these issues promptly, the consequences can be fatal.

Hurricane Ian brought widespread damage to the southeast U.S. and was the deadliest storm to strike Florida since 1935, causing at least 137 fatalities in its path across the Caribbean and the East Coast.

As an emergency medical professional, one of your most critical responsibilities is protecting your patient's airway. This can mean relieving an obstruction (using the Heimlich maneuver or forceps), placing an advanced airway (naso- or endotracheal tube), or simply repositioning the patient to keep their airway open (placing supine, using a jaw thrust).