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Minimizing airway management equipment

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The standard prehospital intubation kit contains a range of equipment and may take up considerable space. For example, it might include a laryngoscope handle, multiple blades, multiple sizes of tracheal tubes, stylets, syringes, tape, a capnometer, and spare batteries and bulbs. There are situations in which minimizing the airway management pack might be necessary. For example, a wilderness or tactical mission requires smaller, compact equipment kits [11]. Over the past three decades, there have been major advances in miniaturizing medical devices, offering new options for portability, including, for example, portable versions of continuous quantitative end‐tidal CO2 devices (Figure 4.7), suction devices, and video laryngoscopes.

An example of a condensed airway management kit is shown in Figure 4.8.


Figure 4.7 Small continuous battery‐powered end‐tidal CO2 device.

(Smith Medical BCI Capnocheck)


Figure 4.8 An example of a condensed airway pack with a laryngoscope roll (added ET tube and bougie), supraglottic airway, and a cricothyroidotomy kit. (North American Rescue, King LT, H+H).

Source: North American Rescue, LLC.

It may be possible to select gear with multiple uses. For instance, a 14‐gauge IV catheter may be bent and used as a cricothyroidotomy hook. Along the same lines, one might secure the endotracheal tube with tape rather than a commercial endotracheal tube holder.

Emergency Medical Services

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