« intubation »

27 passage(s) dans 12 référentiel(s).

• JTS — Prolonged Casualty Care GuidelinesJoint Trauma System (DoD)
  • p. 62medical personnel on scene  Begin evacuation  Evacuate  Distribute patients Action Action Action  Stop external bleed  Clear airway  Reverse intubation/ transfusion  Get a count  Stop external bleed  Reserve intubation/transfusion  Begin to establish CCPs  Utilize minimals/return to Duty  Formal triage
  • p. 13medications shape the best management techniques. Considerations include: limited availability of supplemental oxygen; medications for induction/rapid sequence intubation, paralysis, and post-intubation management; and limitations in available equipment. Another reality is limitations in sustainment training options, especially ... levels.  Level of sedation should be continuously assessed every 5 minutes for patients sedated deep enough for endotracheal intubation. Role 1b  Re-asses airway before, after and during any patient movement.  Airway adjuncts with an inflatable cuff such
• JTS — Mechanical Ventilation BasicsJTS
  • p. 6guard the airway are indications for mechanical ventilatory support – but the cause must be determined. Indications for intubation must be thoroughly considered as intubation and Positive Pressure Ventilation (PPV) have risks. For example, a patient with increased work ... breathing due to hypoxia from pneumothorax will be severely harmed by intubation with the introduction of positive pressure that can expand the pneumothorax and result in lethal tension physiology. Additionally, the bleeding patient who has a very high
  • p. 4Guideline Only/Not a Substitute for Clinical Judgment 4 B A C K G R O U N D Intubation and mechanical ventilation are challenging skills in the austere environment and appropriate consideration must be taken when placing ... intubated by prehospital providers for transport from point of injury (POI) to the first battlefield role of care. Intubation and providing mechanical ventilation are not without risk. The benefits should outweigh the attributable cost and risk of managing
  • p. 9Clinical Judgment 9 Table 1. Trouble shooting – DOPE Algorithm Alarm DOPE Possible Cause Troubleshooting High Pressure D Mainstem intubation If the tube has advanced and unilateral ventilation is confirmed, retract the tube to proper depth using bougie technique ... maintain placement. High Pressure D Esophageal intubation If the tube is advanced and unilateral ventilation is not present, rule out esophageal intubation – evaluate with DL or VL. If breath sounds are present over abdomen, or gastric distention noted
• JTS — Mechanical Ventilation during Critical Care Air TransportJTS
  • p. 16Clinical Judgement 16 APPENDIX C: TROUBLESHOOTING – DOPE ALGORITHM Alarm DOPE Possible Cause Troubleshooting High Pressure D Mainstem intubation If the tube has advanced and unilateral ventilation is confirmed, retract the tube to proper depth using bougie technique ... maintain placement. High Pressure D Esophageal intubation If the tube is advanced and unilateral ventilation is not present, rule out esophageal intubation. If breath sounds are present over abdomen, or gastric distention noted, remove the ET tube
• JTS — U.S. Army Aeromedical Evacuation Standard Medical Operating GuidelinesJTS
  • p. 154Duration – IV: approximately 20-120 min (increases with higher doses or hypothermia) Indications • Labeled Indications o Rapid Sequence Intubation / paralysis and routine endotracheal intubation, facilitates mechanical ventilation in ICU patients Contraindications • Hypersensitivity (e.g., anaphylaxis) to rocuronium, other neuromuscular ... prior to paralytic use and throughout maintenance • Pregnancy: Category C Lactation: Use caution Dose / Administration ADULT Rapid Sequence Intubation • IV / IO o 1 mg/kg q 30-45 min (Dosing ranges from 0.45-1.2 mg/kg) Note: In adult patients
  • p. 156secs; Duration – IV: 4-10 min with single dose Indications • Labeled Indications o Rapid Sequence Intubation and routine endotracheal intubation Contraindications • Hypersensitivity to succinylcholine or any component of the formulation • Acute phase of injury following major burns, multiple ... cardiac arrest, and death from hyperkalemic rhabdomyolysis • Pregnancy: Category C Lactation: Use caution Dose / Administration ADULT Rapid Sequence Intubation / Neuromuscular Blockade • IV / IO o 1.5 mg/kg Note: Pretreatment with 10% dosage of nondepolarizing agents prior to neuromuscular blockade
  • p. 14TABLE OF CONTENTS 14 RAPID SEQUENCE INTUBATION History • Airway compromise or inability to protect airway • Respiratory failure (Hypoxic, Hypercapnic) o > 40% TBSA burns, severe sepsis, TBI with AMS, etc. • Patient or crew safety o Combative, prolonged in critically ... function • Oxygen: Pre-Oxygenation + Apneic Oxygenation • Airways: ETT, SGA (iGel, King, etc.), Cricothyrotomy • Pharmacology: Induction, Paralysis, Post-intubation Sedation • Monitor: BP, HR, RR, SpO2%, ETCO2 capnography, 4-lead • Equipment: Bougie, Laryngoscope, Video Laryngoscope, Cric Kit • Evaluate Cricothyrotomy landmarks
  • p. 81suction mouth and pharynx • Ventilate with 100% oxygen o If unable, move to next step • Endotracheal Intubation (Size 9 – 11 mm ET tube) o If unable, move to next step • Suction Airway o If airway still not clear ... Inspiratory Time ~ 1 sec ~ 1 sec Notes, Cautions, Warnings • Unconscious MWDs: use tracheal insufflation, orotracheal intubation, or tracheostomy • If obstruction cannot be removed in a few seconds, consider tracheal insufflation with oxygen and perform tracheostomy • Intubation

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• IFRC — International First Aid, Resuscitation and Education Guidelines 2020IFRC — Global First Aid Reference Centre
  • p. 262statistically significant increase in several symptomatic features of poisoning (hospitalisation rate, intensive care unit admission rate, need for intubation rate), compared to hospital intervention alone. However, a statistically significant increase in mortality, convulsion rate, drug absorption (AUC, Cmax ... activated charcoal nor no intervention. A statistically significant decrease in mortality, symptomatic features of poisoning (need for intubation, length of intubation, seizures, need for cardiac pacing or antitoxin treatment), drug absorption (AUC, Cmax or Tmax), or the occurrence
  • p. 125pressure ventilation. However, it showed a lower rate of hospital-acquired pneumonia, and a higher rate of tracheal intubation and of respiratory complications (very low-certainty evidence). ILCOR (Singletary et al., 2015) found very low-certainty evidence
  • p. 236head injury and a more serious concussion (brain injury), the need for advanced neurosurgical intervention and emergency tracheal intubation. A head injury without a concussion is a brain injury, but it can be challenging to differentiate between
• JTS — Burn CareJTS
  • p. 7becoming distracted by the burns. Perform a rapid airway assessment and obtain a definitive airway if needed. Immediate intubation may not be necessary in less severely burned casualties, thereby allowing time to complete the primary survey and prepare ... controlled intubation. Indications for endotracheal intubation include coma or depressed mental status with Glasgow Coma Scale (GCS) <8, symptomatic inhalation injury, deep facial or neck burns, and burns of ≥ 40% TBSA. Partial- thickness burn Full-thickness burn
• Références techniques nationales PSE Juillet 2026
  • p. 145disponible ; • remettre la victime sur le dos ; • reprendre la ventilation artificielle. Par l’intermédiaire d’une sonde d’intubation ou d’un dispositif supra- glottique Le secouriste peut être amené à ventiler une victime à l’aide ... insufflateur manuel directement relié à une sonde d’intubation ou un dispositif supra-glottique. Pour cela, il veille à ne pas mobiliser la sonde ou le dispositif lors des insufflations et respecte les consignes données. Risques & Contraintes
• JTS — Drowning ManagementJTS
  • p. 7recovery position (lateral recumbent) to minimize risk of aspiration. 10-11 ▪ In the obtunded patient, consider early intubation if an expert in airway management is available. Definitive airway is required in patients with respiratory arrest as soon ... feasible. Continued use of BVM will increase risk of emesis. If a unit is trained for the capability, intubation will decrease risk of aspiration if it is available in the pre- hospital environment. ▪ Due to concern for increased
• JTS — Joint En Route Care GuidelinesJTS
  • p. 12placement (gum/teeth line) and EtCO2 If potential or impending airway compromise, consider definitive airway placement with Rapid Sequence Intubation (RSI). Examples include: • inhalation burns in an enclosed space • burns to the face or neck • burns > 40% TBSA • burn ... needed. Check for cuff leaks. See Appendix D for Airway Assessment Acronyms See Appendix E for Difficult Intubation Assessment HAND-OFF • Verify airway adjunct placement (gum/teeth line) and EtCO2 • Verify NG/OG tube placement ADDITIONAL CONSIDERATIONS General Movement
• OMS / CICR — Basic Emergency Care (cahier du participant)OMS · CICR · IFEM
  • p. 97spinal injury suspected, the seated position may be more comfortable. Patients with airway burns may require early intubation as the airway can swell and block quickly; delays may make intubation more difficult. A person with airway inflammation
• JTS — CBRN Part 4: Biological CasualtiesJTS
  • p. 9isolated from the patient compartment, vehicle operator should wear N95 respirator. If clinically indicated and available, rapid sequence intubation should be considered for patients requiring definitive airway management to avoid aerosol production from coughing. Patients who are intubated ... meningitis) Neisseria meningitidis Standard + Droplet Precautions for first 24 hours of antimicrobial therapy; mask and face protection for intubation Respiratory (rapidly progressive pneumonia with hemoptysis) Pneumonic Plague Standard + Droplet precautions
• JTS — High Bilateral Amputations and Dismounted Complex Blast InjuryJTS
  • p. 7animal studies. The AAJT can be applied relatively rapidly, but the casualty will require pain control or intubation. The devices use pressure on the aortic bifurcation to provide proximal control. Ensuring that bleeding is from below the aortic
  • p. 6ensure the casualty stays warm. Once cardiac activity returns, the casualty should be intubated. As mentioned above, prioritizing intubation over establishing circulation (and filling the heart) will result in cardiac arrest in the exsanguinated DCBI casualty