Prep
- BSI (gloves, face shield if risk of secretions)
- Suction ready
- Adjuncts ready (OPA, NPA)
Execute
Assessment
- Look for chest rise
- Listen for breath sounds
- Feel for air flow
Basic Manoeuvres
- Head tilt / chin lift (no c-spine concern)
- Jaw thrust (c-spine concern)
WARNING
Jaw thrust only if suspected c-spine injury
Adjuncts
OPA (Guedel)
- Size: corner of mouth to angle of jaw
- Insert upside down, rotate 180° at soft palate
CAUTION
OPA contraindicated if gag reflex present
NPA
- Size: tip of nose to tragus
- Lubricate, insert perpendicular to face
- Bevel towards septum
Finish
- Reassess airway patency
- Position patient appropriately
Checklist Complete