Key Changes in Case 1 Respiratory Compromise
  • C-Spine Injuries:  Use Chin lift if jaw thrust fails
  • Breaths 1 second in and 1 second out
  • Ventilation Volume= visible chest rise
  • Do not delay CPR for advanced airway
    • Airway insertion may be deferred until patient fails to respond to initial CPR and defibrillation or demonstrates return of Spontaneous circulation (Class IIb)
  • BVM, ET, LMA, combitube equally effective
    • The optimal method of managing the airway during cardiac arrest will vary on the basis of provider experience, health system characteristics, and the patients condition.  Studies suggest that the LMA and Combitube can be inserted safely and can provide ventilation that is as effective as bag-mask ventilation
  • Use your C02 detector to confirm ET Tube placement
    • To reduce the risk of unrecognized tube misplacement or displacement, providers should use clinical assessment plus a confirmation device such as an exhaled CO2 detector or an esophageal detector device to evaluate tube location (Class IIa)
  • Asynchronous ventilations 8 -10 per minute once advanced airway is placed
  • Avoid Hyperventilation
  • Foreign body Airway Obstruction in CPR-NO tongue lift or blind finger sweep.