Patchwork Airway Management: Best Practices, Indications, and Future Considerations

This report explores the best practices, indications, and future considerations for patchwork airway management. It discusses the challenges of prehospital airway management, the College of Paramedic's position on intubation, and the importance of continuous professional development. The report also includes a short reflection on the experience of airway management.

Patchwork Airway
management

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Best practice in term of airway management..............................................................................3
Explaining and justified various indications contradiction along with method of intubation
within prehospital setting............................................................................................................4
College of Paramedic’s Position on intubation along with literature review which draw
finding.........................................................................................................................................6
Short reflection on experience of airway management...............................................................7
Discussing about the way in the future to ensure to meet each of HCPC standard for CPD......8
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................10

INTRODUCTION
Paramedic refers to health care professionals who have main role to provide advance
emergency medical care to patient. They can provide emergency healthcare support to patient
during any time any situation. In this report, there is discussion about the practices in term of
airway management. There is also discussion about various indication method of integration
contraindication with the pre-hospital setting. There is also a discussion about critique the
college of paramedical position statement and review. There is also use of the appropriate model
for short reflection on the experience of airway management. There is also discussion about the
future that how to meet HCPC standard for CPD (Dixon, (2017)).
MAIN BODY
Best practice in term of airway management
Prehospital Airway management refers to a core component related with emergency
services. It create vital challenge for delivering emergency services around the globe.
Advancement of prehospital airway control procedures provides evaluation of emergency care. It
is related with the spectrum of airway management which involves wide area of technique and
skill. This have basic airway skill to provide life support training like a mouth to nose ventilation
or mouth to mouth ventilation are using to offer oxygen face mask which is highly necessary in
airway management. Technique use of oral or nasal Airway device are highly used and surgical
care technique. Prehospital Airway Management services are highly necessary for providing
effective health care services. In this, there is need for high level of training and skill which can
make it possible for delivering basic airway help for support to the person immediate with
advance skill for highly accessible for delivering emergency Medical Services and respond of
various level of training. Emergency Medical System utilizes paramedics for providing
emergency care and delivery of healthcare treatment in airway management (Chu, (2020)).
Paramedical healthcare professionals are highly trained and delivered high level of
training for performing their best practices in term of airway management. During delivery of
healthcare services in the emergency, create different challenges during airway management.
The prehospital setting is one of the major challenges for airway management for achieving
properly involved in personnel and medication. In general, there are many protocols which
suggest that there is need of advanced airway management technique with appropriate skilled

personal to get attention on focusing for performing high-quality service when it is needed
immediately. During airway management, there is need to provide many services which are
highly needed during emergency time.
Mouth-to-mouth ventilation is one of the techniques which are generally used during
certain circumstances. When equipment are not available. then these techniques play and
important role to maintain ventilation and oxygenation. Spontaneously paramedic healthcare
professional perform well rescue for facing difficulty while delivering healthcare services. In
this, paramedical healthcare professional deal with us spontaneous calibrating of the patient for
maintaining ventilation and oxygenation. This is highly accessible to providing oral on a survey
device for maintaining airway potency (Dogjani, (2019)).
Bag mask ventilation is one of the techniques which is applied to patient nose and mouth
which is tightly sealed to improve oxygenation and ventilation to the patient. This technique
should be used during endotracheal intubation is planned. In the process of intubation, this can
be done to avoid oxygen desaturation. In such type of situation paramedic Health Care
professional plays an important role for delivering better and effective services for performing
better practice to make people or individuals help in taking breath spontaneously. They are the
one who can provide advice and help individual to use bag masks for proper ventilation when
there is any emergency with any specific person.
When any patient travel, then Airway management plays an important role for the taking
care of such patients that there should not be any type of medical situation that could lead to
create risk of life. Paramedic healthcare professionals play an important role for taking care of
such type of patient for their better requirement of a healthcare professional. They are present
there for the emergency while traveling. Paramedical care professionals are generally able to face
the situation when there is related condition of respiratory tract. They can better deal with such
type of situation due to having proper training to manage such type of difficult situation with the
help of special equipment and technique for Patient Safety (Donncha, (2017)).
Explaining and justified various indications contradiction along with method of intubation within
prehospital setting
There are a different indication, contraindications and methods of intubation within
prehospital setting. Management should have the important skill of the physician that should
have enough information to deal with patient during emergency conditions. There is need to

control intubation without losing time which can lead to creating respiratory arrest and saves
patient from hypoxia and improve quality of life in long term. Endotracheal intubation refers to
airway management that is safe method in patients to suspected respiratory tract which can help
to create respiration easily. Sometimes, there is difficult to determine intubation disease along
with indication at the time of evaluating patient. For this, there is need of clinical experience to
identify indication and sign of respiratory failure on the long term during any difficulty or
emergency time. Intubation disease can made and deciding high flow nasal oxygen. This refer to
therapy which is used during difficulty of air condition of mask ventilation.
There are some of the five indications with can help to provide information when patients
require intubation.
 When patients are unable to keep the airway open which is the condition of dislocation of
tongue and obstruction of upper respiratory tract.
 When they are failure to protect against airway aspiration which is due to natural bleeding in
trauma patients, gastro-oesophageal reflux, fullness of stomach or secretion.
 Ventilation failure due to wide mandible, mandible being behind obesity, a small mouth,
upper jaw being is in front and due to difficult mask ventilation can lead to create difficult
intubation.
 Due to insufficient oxygenation like the insufficient movement of chest wall, decrease of
gradual saturation, expiratory measurements etc.
 There are some possible condition which can lead to create a respiratory failure which is
heavier dynamic changes due to result of progressive hypoxemia.
Endotracheal intubation are used in an unconscious patient or the patient with respiratory
failure for keeping their airway open for proper ventilation. Endotracheal intubation can be
perform when general anesthesia has been applied during operation (Shchomak, (2019)).
Endotracheal intubation indication are as follows.
 Airway problem- This is external pressure on airway. vocal cord, paralysis, infection,
tumor.
 Respiratory deficiencies- Hypoxemic respiratory insufficiency and patient with poor general
condition.
 Inadequate circulation- Patient with cardiac arrest in hypertensive or hypothermic cases.

 Central nervous system problem along with metabolic disorder- This includes auxiliary
muscle disorder, muscles disease of the respiratory system and a central Apnea syndrome.
During emergency condition different technical skill, equipment and quickness plays a
crucial role in decision making during intubation. This includes airway obstruction, inadequate
oxygenation, disruption of airway reflects, unconscious change to protect airway,
cardiopulmonary resuscitation.
College of Paramedic’s Position on intubation along with literature review which draw finding
The concept statement refer to provide professional-specific guidance for gradual
integration by paramedics. This is a procedure which is supported by collage paramedics about
tracheal intubation which is subject of legal and professional debate. This is related with grown
investigation. This is referred to a review along with available evidence with the expert opinion
for preventing patient from harm and to promote a clinical effectiveness and Patient Safety by
following professional standards (Swinton, (2018)).
According to Vukovic, (2019), airway management has been profound effective
morbidity and mortality which plays a fundamental part in paramedic practices. According to a
meta-analysis of prehospital airway management provided a report related with pooled
procedural success rate. There is a rapid evidence review which is commissioned by college to
provide consideration of questions like how to learn and maintain skill for providing proper care
by paramedic for patient safety. Expert consensus have not always sufficiently support change in
clinical practices. It also influences to consensus expert group when they are not able to achieve
hierarchy of evidence with the help of a structured method accordingly. There are no any
technique which can be used by airway working group. This was recognized by they remember
about the weakness in their first meeting of conclusion and presented systematic review of
conduct with condition with free hospital integration based on recommendation rebust evidence
(Dada, (2018)).
It has been recognized that there are very small minority of the evidence can address the
practice which can create significant difference in the training program. There is no purpose for
the concession statement for removing tracheal intubation skill from paramedics. There is no any
intended debate related with the efficacy of intubation or the impact of mortality or morbidity as
a research study for answering those questions. The consensus related with this group of
paramedics which can perform fractional integration effectively and safely. This can provide

better safety and preventing form any harm to the patient during Airway management. They are
able to save and can perform as well government system for continuous training along with
education to improve competency while delivering their services as a paramedic to the patient
(Kim, (2017)).
Short reflection on the experience of airway management
I have worked as a paramedic in Airway management where I have learned many
experiences while delivering my services with the help of continuous training and learning skills.
I have faced different challenges during the delivery my services in the airway management. I
have required collection of adjustment with the help of involving personal equipment and
medication with continuous and effective delivery of healthcare services.
During delivery my services I have noticed that there was a patient has been about which
was referred to a different place. I have given a responsibility to take care of the patient for
providing care and emergency help and support. I have observed that in middle, there was some
indication that was related with respiratory failure within patient. I have observed that he was not
able to take breath continuously and suffocating due to a decrease level of oxygen. In such
condition, I have to taken the decision quickly to provide him bag mask ventilation which is
initial airway management where mask should be applied on the patient's mouth and nose with
properly tight seal which can help and allow patient to improve their ventilation and
oxygenation. I have used this technique for providing better healthcare support during
emergency condition (Thompson, (2019)).
I have also learned that when this is not going to work, in such situation, there is need to
deliver mouth-to-mouth ventilation in certain circumstances when equipment are not available.
This technique can be used by me when there would a condition of not having equipment for
maintaining oxygenation and ventilation for the patient for deal with the emergency effectively.
I have learned that there is a need for proper training and continuous practices which can
provide better health care treatment during the emergency time during delivering services as a
paramedical in airway management. I have learned that there is need to make decisions quickly
for which there is need of learn decision making skill which can help to quickly act on the
response of patient health. This can allow me to learn the technique for delivery in better
emergency support for the improved health and patient.

As a role of paramedical in airway management when such type of similar situation in the
future come. I would deal with differently and more efficiently. I will use proper technique and
continuously focusing on present condition that there should not be chance of getting emergency
due to problem in breathing by the patient. I will effectively respond when such type of situation
going to be initiated (Snaith, (2018)).
Discussing about the way in the future to ensure to meet each of HCPC standard for CPD
There is need to learn and improve practices to meet each of the HCPC standard of CPD.
In context to this, there is a need to maintain up-to-date record for continuous professional
development activity by performing learning activity on regular basis. It allows to improve with
the help of practices and provide benefit while delivering services during an emergency situation.
This can help to maintain up to date record of continuous professional development activity. For
maintaining continuous up-to-date and accurate record of CPD activity. This includes need to
carry out regular activities. This allowed to keep records the most appropriate and convenient
way for making record on an ongoing basis. When individual is audited, this can provide
information about the last previous 2 years related with the interested area. It allows delivering
through reflection of the activities which has been carried out by the paramedic healthcare
professional (Alvarez, (2020)).
To fulfill HCPC requirement, there is need to perform all continuous professional
development activity. CPD must be relevant with future and current practices which are how to
utilize the practices during an emergency situation and help to provide support to saving patients
life. This should support career development by preparing for delivery of futures of the service
effectively.
This continuous professional development activity plays an important role for
contributing quality of practices and service delivery with the help of continuous practice. This
can help to improve quality of delivering services and can provide potential to improve practices
for utilization in a frequent manner. It also help to improve decision-making to effectively
respond during an emergency (Chamane, (2019)).
These continuous professional development activities are highly beneficial for service
user. Effective and quick decision-making allows paramedic healthcare professional to respond
quickly and effectively. Delivery of healthcare services during an emergency to the service user.

This can help to save life of service user effectively and can promote care and support whenever
need in an emergency situation.
CONCLUSION
From above discussion, it can be concluded that paramedic clinical practices plays an
important role for delivering health care services in terms of airway management. In this report,
there is a discussion about best practices in airway management along with various indication
contraindication and method of integration within prehospital setting. There is also discussion
about college of the paramedic's position statement on intubation. This report also consists of
short reflection on the experience of airway management. There is a discussion about the way to
maintain an up-to-date and accurate record for continuous professional development activities
along with requirement of continuous professional development activities. There is also
discussion about the way to contribute quality practice by delivery of services in CPD activities
along with its benefit to the service user.

REFERENCES
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