Airway equipment

Airway equipment (pharyngeal airway, laryngeal mask, supplies for intubation)... 

SOAP ME mnemonic for rapid sequence induction/intubation Suction, Oxygen, Airway Equipment (including a... 

I. "SOAP ME"—Suction, O2, Airway equipment (including a rescue/backup airway device or technique. Pharmacology, Monitoring Equipment... 

The release of a nerve agent near a school would put a strain on local prehospital and in-hospital resources, with airway equipment, supplies of 2-PAM and atropine, and pediatric intensive care beds being quickly used and depleted (Aghababian, 2002). Therefore, health care professionals should know how their community accesses the Strategic National Stockpile (SNS) and other resources to obtain medications and supplies in a timely manner. Additionally, hospitals should keep a 48-hour supply of pediatric equipment and pharmaceuticals on hand for their average daily census of pediatric patients, plus an additional 100 patients (Markenson Redlener, 2004). Stockpiled pharmaceuticals and equipment should be specifically for pediatric use or appropriately substituted for such use (Markenson Redlener, 2004). Hospital operations and preparedness policies should include pediatric care and treatment guidelines (Markenson Redlener, 2004). 

For example, disposable airway equipment or resuscitation bags and mechanical respiratory assist devices, such as oxygen demand valve resuscitators, should be available on all emergency vehicles and to all emergency response personnel who respond to medical... 

A systematic approach to the airway consists of assessment of the level of airway difficulty, preparation of the patient, collection of airway equipment and pharmacologic medication, and development of a back-up plan. A back-up plan is essential prior to any intubation attempt. Preparation is critical to avoid failed attempts resulting in airway trauma impairing subsequent laryngoscopies. 

Promoting an Optimal Response to Therapy Depending on die patient s condition, die nurse may use cardiac monitoring, artificial ventilation (respirator), and odier drag s during and after the administration of naloxone It is important to keep suction equipment readily available because abrupt reversal of narcotic depression may cause vomiting. The nurse must maintain a patent airway and should suction die patient as needed. 

However, the lungs are equipped with defense mechanisms especially with regard to the intake of foreign substances from the air. Thus, the upper airways of the respiratory system are lined with ciliated cells, and mucus is secreted, which also lines the airways. Solid particles are therefore trapped by the mucus and cilia and are transported out of the respiratory system. Other substances may be removed after dissolving in the mucus and then being transported out by the ciliary escalator. 

Airway/cervical spine Assess for patency iook for ioose teeth, vomitus, or other obstruction note position of head. Suspect cervicai spine injury with muitipie trauma maintain neutrai aiignment during assessment evaiuate effectiveness of cervicai coiiar, cervicai immobiiization device, or other equipment used to immobiiize the spine. Open cervicai coiiar to evaiuate neck for juguiar vein distention and tracheai deviation. 

These are not nurse-administered medications. Except in Critical Care they cannot be administered unless the patient is intubated or has an airway. Be sure all resuscitation equipment and medications are available. 

The slightly higher percentage of airway and eye involvement in Iranian soldiers versus U.S. World War 1 casualties is perhaps attributable to the higher ambient temperature in the area (compared with Europe), which caused more vaporization. This might also have been because of available Iranian protective equipment or poor mask seal with facial hair. In 1984, the year the first Iranian casualties were treated in Europe, protective clothing and gas masks were not commonly worn by Iranian soldiers (Willems, 1989). 

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