Overweight or obese patients can present suctioning difficulties. Because most American adults are overweight or obese, medical providers must train in the treatment of bariatric patients. These patients are highly susceptible to airway difficulties, particularly during surgery. The following strategies can help you effectively suction bariatric patients, even when they present with difficult airways.

The COVID-19 crisis has fundamentally shifted the emergency medicine landscape. Providers are exhausted, afraid, and overwhelmed by an increasingly taxed health system. Patients’ lives hang in the balance, and research shows that they’re just as afraid. Fear of the novel coronavirus is now keeping patients with emergency symptoms away from the emergency room. 

Prehospital airway suctioning can treat aspiration, choking, obstructed airways, and other common emergencies. Yet many first responders spend little time thinking about, let alone practicing, this vital skill. Because all interventions, including suctioning, carry some risks, this lack of experience may make providers reluctant to suction patients. Training EMS teams on prehospital airway suctioning can counteract this reluctance and empower teams to provide prompt, efficient, effective care in a wide variety of emergency settings. 

Extreme heat is the leading cause of natural disaster-related deaths and injuries in the United States. Between 1999-2010, more than 8,000 Americans died of heat-related injuries, and thousands more visited emergency rooms. As summer temperatures soar to record highs, first responders must be prepared to respond to heat stroke and similar symptoms.

We've all been there: You're working a code in a crowded restaurant—a patron who has just finished a gargantuan meal—and as you set up your intubation equipment, the patient begins to vomit. Luckily, you have your portable suction unit ready, so your partner begins to suction as you prep your tube. But as you position yourself at the head, the patient continues to spew. What should you do? How are you supposed to intubate a patient who is actively vomiting? Impossible, right? No. There is now a technique that enables you to intubate, even in the most difficult conditions.

Anyone who has seen the news lately can attest to the fact that we are in the throes of a serious flu season. Not only has there been widespread infection across the country, but there are numerous strains out there that fall outside of this year’s immunization. That’s not to say that the flu shot is useless. On the contrary, seasonal flu shots are a great way to protect yourself, especially if you are very young, elderly, or immunocompromised. The flu shot may lessen the symptoms and shorten the infection, even if you acquire a different strain. And if you’re a health care provider, you need all the protection you can get.

Thanks to modern medicine and advances in genomics, cancer treatment, and longevity research, the aging population across the United States continues to grow. As it grows, the frequency of EMS providers responding to geriatric patients will only increase.

Responding to pediatric medical emergencies is never easy, especially since most such emergencies involve some form of trauma. Emergencies involving traumatic injuries to a child can be highly stressful events not only for the patient and their family, but for you, the responder, as well. Motor vehicle accidents, falls, and bicycle crashes are just a few of the scenarios that can result in serious, even life-threatening injuries for children; between infancy and adulthood, traumatic injuries make up the most common cause of death, according to the American Academy of Pediatrics (AAP).¹

As winter approaches, so too does cold and flu season. This time of year usually marks an uptick in emergency room visits and EMS responses, many of which involve a respiratory disorder. And any respiratory emergency can lead to a critical suction scenario. So, to prepare for the long winter ahead, let’s examine some potential winter suction scenarios you may encounter as we await the coming of Spring.

Oropharyngeal suctioning is a critical step in maintaining airway patency. This simple treatment can mean the difference between life and death for your patient, so proficiency is key. Identifying a tenuous airway, correcting the problem, and maintaining patency will improve patient outcomes and reduce length of hospital stays by preventing complications from aspiration and hypoxia.