Opening an airway – Clinical skills

Opening an airway – Clinical skills

August 7, 2019 13 By Bertrand Dibbert


meet Fred Fred is sleeping but as you can tell is snoring loudly his airway is obstructed elevating his head ten centimetres from the bed using a pillow or towel and tilting his head backwards slightly opens his airway a rolled towel or pillow placed under Fred’s lower neck or shoulders may also help Fred’s unconscious and unable to rouse now is the ideal time to use the jaw thrust technique place your index and middle finger under the angle of the mandible bone push Fred’s jaw upwards until his lower teeth of the jaw jut in front of the upper teeth for extra effectiveness tilt his head back as an alternative method we have the head-tilt chin-lift rest one hand on Fred’s forehead place your index and middle finger on the underside of Fred’s chin the bone not the soft tissue using your other hand tilt his head back and push his chin towards the top of his head towards the ceiling using the same hand open Fred’s mouth with your thumb spinal suspected keep Fred’s head in a neutral position as you open his airway using the jaw thrust method if an open airway hasn’t been established tilt his head back airway is the priority let’s ensure it’s established obese patients need more tilt than typical when we tilt heads back place blankets towels pillows or special wrap devices under their shoulders and neck we need to ensure that the ear is in line with the sternum you