NREMT Advanced EMT

Category - Airway and Respiration

All of the descriptions below relate to the use of oropharyngeal airways except one. Which statement does not apply to the use of oropharyngeal airways?
  1. Oropharyngeal airways should only be used if a patient is unresponsive with no gag reflex.
  2. When attempting to insert an oropharyngeal airway, have a suction device ready in case the patient does have a gag reflex and vomits.
  3. Oropharyngeal airways can be measured from the corner of the patient’s mouth to the patient’s earlobe or from the center of the mouth to the angle of the jaw.
  4. Oropharyngeal airways that are too long may extend to the back of the throat and block the airway, while oropharyngeal airways that are too short may allow the tongue to block the airway.
  5. Oropharyngeal airways serve as an alternative to airway clearing maneuvers such as the head-tilt, chin-lift and jaw-thrust maneuvers.
Explanation
Answer - E - The oropharyngeal airway is designed to assist the paramedics in maintaining an open airway, but it is not a substitute for basic airway clearing maneuvers such as the head-tilt, chin-lift maneuver, or jaw-thrust maneuver. In fact, the appropriate application of an oropharyngeal airway requires the paramedics to use one of the basic airway clearing maneuvers prior to attempting to insert the oropharyngeal airway.
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