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.

Think for a moment about all the decisions you make each time you treat a patient. It begins with your assessment: Is the patient stable or critical? Are their vitals sufficient, or do they require immediate intervention? Will they need ALS or BLS? Each scenario prompts a deluge of decisions—decisions that must be made instantaneously in some cases.

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.

Chief among a health care provider’s worst nightmares, apart from losing a patient, is unintentionally doing harm to one. In addition to a feeling of failure or shame, a poor outcome carries the risk of a malpractice allegation.

September is National Preparedness Month, a time to remember and spread awareness about the need for robust preparation in the event of a disaster or emergency. This applies to all, from families to businesses — and of course, health care organizations and providers.

Many people, from infants and children to adults with certain medical conditions, rely on tracheostomies for breathing assistance. A tracheostomy — which involves placing a tube through the front of the neck into the windpipe (trachea) to provide an air passage — is necessary in many cases, but it can also come with various risks and airway management concerns for patients and their providers. 

Though your team may have a general disaster preparedness plan that you can fall back on if a tornado were to strike, or if a large flood were to inundate surrounding communities, how often do you evaluate this plan and the effectiveness of the disaster resources, protocols and equipment you have in place? 

Media depictions of natural disaster preparedness tend to highlight immediate needs, such as clothing, food, shelter, and access to medical care. Long after the glaring lights of the news media have turned to another natural disaster, however, survivors of the previous disaster may continue to face health issues. First responders must prepare not only for the immediate effects of natural disasters, but also for the long-term health consequences. Here are the most common lingering effects of natural disasters.