James Yates Profile picture
Sep 9 5 tweets 2 min read
Teaching the airway station on #NLS today, so what are the take homes?

1. Place infants head in neutral alignment. This means the plane of the face is parallel to the ceiling, avoid hyperextension or hyperflexion. This might require a small towel/nappy under the shoulders
2. Size up a mask which fits over the mouth and nose but doesn’t project out over the chin or up into the orbits
3. Align the join which marks the interface between the soft silicon edge and the more rigid upper part with the tip of the chin before rolling the mask up onto the face
4. Then use a two point hold on the top of the mask, near the stem, with fingers 3-5 along the jaw line, being careful not to compress the soft tissues. Use a jaw thrust in combination with downwards pressure on the mask
5. If you fail to get a good seal or achieve any chest rise then check steps 1-4. Then try two person technique.
If all this fails the a suoraglottic can be a useful adjunct to reach for. Size 1 iGel will fit approx 2kg+ or 34week gestation

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More from @heli_med_james

Jun 18, 2021
With an increasing number of #specialist & #advancedpractice roles emerging for #paramedics, I thought it might be useful to assimilate some thoughts on preparing yourself & your CV for these positions.
For me, it’s about a rounded approach. Undertaking every course under the sun is fine but won’t provide you with the breadth of development required. Consider the four pillars of advanced practice. This document from HEE is a useful guide hee.nhs.uk/sites/default/…
Read 9 tweets
Mar 25, 2021
Whilst the new #RESUS21 guidelines don’t introduce any significant changes, here are some take homes that I believe are worth highlighting. A thread....

#FOAMed #FOAMems #cardiacarrest #resuscitation
“Ambulance services should monitor staff exposure to resuscitation and low exposure should be addressed to increase experience”

It will be interesting to see if, and how, ambulance trusts follow this guidance.
“Adult patients with non-traumatic OHCA should be considered for transport to a cardiac arrest centre”

Pathways for OHCA in the U.K. have been variable. Will this stimulate more standardisation? Prehospital staff need to nail the post-ROSC care bundle. Transport times longer?
Read 8 tweets

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