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Airway and Respiratory Emergencies EXPLAINED скачать в хорошем качестве

Airway and Respiratory Emergencies EXPLAINED 3 месяца назад

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Airway and Respiratory Emergencies EXPLAINED
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Airway and Respiratory Emergencies EXPLAINED

What You'll Learn/Key Takeaways: When to Ventilate: Understand how to assess for inadequate breathing (shallow respirations, cyanosis, mottling) and when positive pressure ventilation (BVM) is the priority, even over bleeding control (unless it's a severe arterial bleed) or Narcan administration in an overdose. Airway Obstruction (Choking): Gurgling: Always means suctioning. Partial Obstruction (conscious): Encourage coughing. Complete Obstruction (conscious): Perform Heimlich maneuver. Complete Obstruction (unconscious): Begin CPR, look for the object before breaths, and consider Magill forceps for paramedics. Infants (less than 1 year): Use 5 back blows and 5 chest thrusts. Respiratory Physiology & Acid-Base Balance: Hering-Breuer Reflex: Prevents lung overinflation. Respiratory Acidosis: Caused by slow/shallow breathing (CO2 retention). Respiratory Alkalosis: Caused by fast breathing (excessive CO2 exhalation). Distinguish respiratory pH issues from metabolic ones based on breathing effort. Asthma: Involves bronchoconstriction, increased mucus, and airway edema. Learn about Status Asthmaticus (unresponsive to conventional treatment) and critical prehospital medications like Albuterol, Atrovent, corticosteroids (Solu-Medrol), and Magnesium Sulfate. COPD: Characterized by chronic lung damage and air trapping. Understand hypoxic drive (breathing stimulated by low O2, not high CO2) and the cautious approach to oxygen administration. Recognize signs of COPD exacerbation. Note that epinephrine is generally avoided in COPD patients due to potential cardiac issues. Pulmonary Embolism (PE): Suspect with sudden onset dyspnea, chest pain, and cyanosis unresponsive to oxygen. Prehospital care is supportive with oxygen; rapid transport is key. Airway Management Complications: BVM Limitations: Difficulty maintaining a seal, risk of gastric distension (leading to vomiting/aspiration). Endotracheal Tube Confirmation: End-tidal capnography (waveform) is the most reliable method. Patient "Bucking" the Tube: Administer benzodiazepines (sedation). Cricothyrotomy: Performed when other airway methods fail or with severe facial/neck trauma. Learn about Open Cricothyrotomy and Needle Cricothyrotomy (a temporary measure that requires specialized equipment). Timestamps: 0:00 - Paramedic Review Intro 0:31 - When to Ventilate & Prioritizing Life Threats 6:41 - Gurgling Respirations & Suctioning 7:39 - Choking (Adult/Child) 11:16 - Choking (Infant) 13:13 - Hering-Breuer Reflex 13:58 - Respiratory Acidosis vs. Alkalosis 17:27 - Asthma Pathophysiology & Status Asthmaticus 19:34 - Asthma Management (Medications) 21:55 - COPD: Pathophysiology & Hypoxic Drive 24:36 - COPD Exacerbation & Treatment Considerations 25:25 - Pulmonary Embolism (PE) 28:34 - Airway Management: BVM Limitations 30:05 - ET Tube Confirmation (Capnography) 31:07 - Managing a "Bucking" Tube 32:04 - Cricothyrotomy (Open vs. Needle) Call to Action: Ready to elevate your paramedic knowledge? 👍 Like this video if this respiratory and cardiology review was a game-changer for you! 🔔 Subscribe to Rescue_Academy_ for more in-depth paramedic study content and exam prep! 💬 What's the most challenging respiratory emergency you've encountered, and what did you learn from it? Share your insights below!

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