CCEMT-P SM Jun-161

1
Needle and Surgical Cricothyrotomy

• OR
• OH, IM IN TROUBLE NOW

2
Cricothyrotomy

• Indications and purpose
• Intubation not feasible
• Facial and laryngeal trauma
• Burns
• Head injury
• Extended transport
• Intubation does not relieve obstruction
• Establish temporary airway

3
Cricothyrotomy

• Assessment
• respiratory effort and adequacy of ventilation
• catheter / tube stability
• needle / incision placement
• drainage

4
(No Transcript)
5
Cricothyrotomy

• Complications
• hemorrhage
• infection
• misplaced cannula
• accidental removal
• subglottic stenosis
• mediastinal emphysema
• tracheal and esophageal laceration

6
Cricothyrotomy

• Conclusion

SO WHATS THE BIG DEAL