Professional Documents
Culture Documents
Problems
Paul Swinton
Paramedic Lecturer Practitioner
Staffordshire University
Foundation Degree – Professional Development
In Paramedic Science
Objectives
Review the skills associated with management of
the acute respiratory emergency
• Tachypnoea
• Anxiety
• Flaring of the Nostrils
• Use of accessory muscles in the neck & abdomen
•Tugging of the trachea
• Retraction of the intercostal muscles and suprasternal
species during inhalation
• Cyanosis
• Change in mental Alertness or Speech
(Caroline 2007)
The Airway
(JRCALC 2006)
Foreign Body Airway Obstruction
GENERAL SIGNS OF FOREIGN BODY
AIRWAY OBSTRUCTION
Attack usually occurs while eating
Patient may clutch his neck
5
Back
Cough! Slaps
5
Abdominal
Thrusts
Resuscitation
30 to 2 • Give 30 chest compressions,
then 2 rescue breaths.
• Continue giving cycles of 30
compressions to 2 rescue
breaths.
• Only stop to recheck the
patient if they start breathing
normally
– otherwise do not interrupt
resuscitation.
• If there is more than one
rescuer, change over every 2
minutes to prevent fatigue.
(JRCALC Version4 2006)
FBAO – Key Points
Avoid blind finger sweeps. Manually remove solid material that can be
seen from the airway
If this fails or is
not possible,
consider
Needle
Cricothyrotom
(JRCALC Version4 2006) y
Asthma in Adults
Introduction
Commonest of all Medical Emergencies
1. Increased production of
bronchial mucus
2. Swelling of the bronchial tree
mucosal lining cells
3. Spasm & constriction of
bronchial muscles
(Caroline 2007)
The amount of cartilage decreases & the amount of
smooth muscle increases progressively down the bronchi.
JJR 2007
Smooth Muscle
Assess A, B, C, D’s
(JRCALC Version4 2006)
Management Reassess to evaluate
condition
Repeat Salbutamol
Assess A, B, C, D’s If indicated & consider hydrocortisone
Consider Atrovent
If Indicated
Administer Salbutamol
(JRCALC Version4 2006)
If indicated
Life Threatening Asthma
The patient
is Deterioration
Suffering Continues despite
from Oxygen and
LT Asthma continuous
Ventilation nebulised
Is salbutamol
Failing
This treatment should be reserved for the most serious cases and
is NOT intended to be used as a matter of routine due to its
arrhythmogenic properties
Consider
Administer Consider
Atrovent
Epinephrine Salbutamol
Hypoxic Drive
Pulmonar
Chronic y
Obstructive Embolis
Airway Disease Pneumonia
m
Pulmonar
y
Oedema
Must Contain:-
• An introduction into the
condition (aetiology) Assessment &
Evaluation of
• General Signs & Respiratory Function
Symptoms
• Management