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EMT Basic · Chapter 37 · Sequence

Patients With Special Challenges

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Tracheostomy in respiratory distress

Order EMT actions when a patient with a tracheostomy is in respiratory distress.

1 / 6 in place
  1. 1If you cannot ventilate through the stoma, attempt mouth-to-stoma rescue breaths while occluding the mouth and nose
  2. 2If the inner cannula is reusable, ask the caregiver to remove and clean it per their normal routine
  3. 3Position the patient upright; provide reassurance
  4. 4Suction the tracheostomy with sterile technique for no more than 10 seconds at a time
  5. 5If the tube is dislodged or fully obstructed, prepare to ventilate via the stoma with a BVM and mask
  6. 6Transport while continuing ventilation support