Overview
The Advanced response prioritises ways to administer oxygen. This can be to the upper airway or through the stoma. Once a trained assistant attends, the process of intubating the upper airway or stoma can be attempted if safe.
We use the upper airway to provide the rescue breaths unless the bed head info says the child can't be oxygenated via the upper airway or if no info is available. In the event of the bed head saying can't oxygenate via the upper airway, go straight to stoma ventilation.
Additional equipment should be available in the Emergency Department or intubating areas in the hospital.
Select the Secondary emergency management tab to continue.
Secondary emergency oxygenation
If the basic manoeuvres fail, then more invasive options are required. Oral intubation may be difficult or impossible.
Details should be recorded on the bedhead sign.
This may be the reason for the tracheostomy.
Again, your area of expertise and patient factors will dictate where to start.
This is a dire clinical situation. Two airway teams may be required, one for the face and one for the neck.
