It makes sense that a relatively controlled environment, such as a hospital, has different suction requirements than unpredictable prehospital care environments. Portable suction units are generally thought of as tools to be used in the EMS setting alone and may not be given much thought in the hospital setting. This is an error that hospitals cannot afford to make. Beyond the needs of crash carts and emergency departments, suction units should be a key aspect of the hospital’s disaster plan. Here, we compare the needs of both prehospital and hospital suction units and how the right choice of suction unit can make an impact on both your efficiency and your patients’ outcomes.

Prehospital care providers and emergency personnel understand that even the most basic skill or task is not without its risks to the patient. Because it is a skill taught in basic prehospital classes and may be performed frequently, providers may assume that oropharyngeal suctioning is second nature and does not require the time or effort to improve skills or review safety. However, safely caring for the patient is your priority—and considering various aspects of oropharyngeal suctioning allows you to make sure this fundamental skill remains as safe as possible for all patients, all the time. Let’s explore some safety tips based on these oral suctioning considerations in order for you to provide your patients with the safest care possible.

Invented in 1907 by Dr. Sidney Yankauer, the Yankauer suction tip has withstood the test of time. The rigid Yankauer suction tip was originally designed to remove blood and secretions from a patient’s oral airway during tonsillectomy procedures. In fact, many practitioners call the Yankauer a “tonsil tip” suction device for this reason.

Operating a suction machine demands skill and precision. Yet many nurses only perform suctioning at times of high stress and chaos, such as in a tactical medical scenario or on a patient who has aspirated. Suction errors are preventable, but can also be catastrophic. According to research published in 2016, medical error is the third leading cause of death in the United States.

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.

When you think of in-hospital suction, you probably picture the typical wall-mounted unit that is supplied by vacuum lines piped throughout the building. What may not come readily to mind are portable suction units, but portable suction plays a vital role in the hospital setting. Let's familiarize ourselves with in-hospital suction strategies.

The victim was another in a long line—that same dark, narrow stretch of roadway that seems to breed head-on collisions. He was unresponsive, pinned beneath the wreckage of the steering wheel, and bleeding profusely from the mouth. As the crews wrestled the extrication tools, working to pop the door, you cranked on your portable suction unit to clear the airway.

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.

As the summer wanes, and kids return to school, you, as an emergency responder, may be lulled into believing that the risk of drowning has subsided or at least diminished significantly. As the fall approaches, fewer people are engaged in water sports, vacations are winding down, and swimming is less of a focus.