Whether you’re a doctor, nurse, or EMS professional, treating patients in an emergency scenario is stressful and exhausting work. Competent, compassionate care often requires working as quickly as possible while minimizing needless distractions. Many providers skip lunch and breaks, ignore their own personal needs, and work hour after hour in frigid temperatures or on empty stomachs.

Oral suctioning in a controlled environment is one thing, but as a first responder, this is a luxury that just doesn’t happen very often. For patients with an airway emergency requiring intubation, you rely on equipment that is efficient, rugged, and safe in order to quickly and safely intubate and secure your patients’ airways. Effective suctioning makes a difference – perhaps even a life-saving difference – in a resuscitated patient.

Medical suction can save lives when it’s properly performed. However, improper technique can make an emergency situation worse, causing potentially catastrophic injuries. The right training for your paramedic team can maximize their job effectiveness and even save lives. Here’s what your team needs to know about safe medical suction.

Hypoxia is one of the most common suctioning complications. It’s also preventable in most scenarios. Hyperoxygenate a patient prior to suctioning to reduce the risk of hypoxia as well as other suctioning complications. Here’s what you need to know about the process. 

Although many first responders express reservations about airway suctioning, it is a potentially life-saving procedure that when correctly performed, has a low risk of complications. With both cold and flu season and allergy season causing year-round respiratory issues, it is always a great time for first responders to brush up on their airway management skills. Continuing education classes and regular drills can prepare you to manage even difficult airways. It’s equally important to be mindful of the main complications of suctioning. Awareness of these potential complications can guide your technique while encouraging your team to remain vigilant and diligent.

In 1907, otolaryngologist Sidney Yankauer revolutionized the world of medical suction with his eponymous Yankauer suction catheter. Dr. Yankauer worked at the outpatient surgery department in Mount Sinai hospital and while there, this unassuming ENT specialist invented numerous pieces of medical equipment. Dr. Yankauer is hailed as a medical genius and admired for his prolific publishing output.

Difficult to precisely define and encompassing a wide range of situations, medical errors nevertheless can be devastatingly costly patients and to health care providers. Protecting against these mistakes is expensive, as well, with the value of the medical malpractice insurance market estimated by some to be over $17 billion and premiums increasing rapidly in recent years.

With the advent of minimally invasive in-office procedures, patients are increasingly choosing sedation instead of general anesthesia. Sedation exists on a continuum, ranging from very mild sedation to deep sedation, but it is generally safer than anesthesia and requires a shorter recovery time. Patients also may require sedation in some emergency medicine scenarios.

Anyone working in patient care knows how important oropharyngeal suctioning is to maintaining airway patency. Not only does it remove bodily fluids (blood, mucus, saliva, and vomit) from the airway, but it also allows visualization of the vocal cords during intubation—a crucial step in establishing an advanced airway.