Head tilt/Chin lift
No ventilation related reduction to venous return/preload
Use least amount of intervention needed
is ET tube is dislodged, place a supraglottic airway
Compressions with not be interrupted for airway placement
2 hand seal w/ 1 handed bag squeeze
EtCO2 placed prior to first breath of advanced airway
Maintenance of patent airway
Open airway
If indicated, follow protocol
Proper ventilation with high flow O2
O2 via NC @ 15 lpm prior to and throughout intubation
Modified jaw thrust
EtCO2 monitored from onset of ventilations and placed prior to first breath of advanced airway device
Suction as needed
Ventilate every 20 compressions w/ breath lasting 2 seconds
BVM w/ OP/NP
Positive pressure ventilations
if compromised sirway with vomitus or past 660 compressions and no V-fib
Chest decompression
EtCO2 waveform monitoring
Preformed by most experienced medic
2 attempts max then move to different airway plan
