Pediatric Trauma - Management of Pediatric Trauma

1. Examine tube, ensure appropriate inflation of cuff with no tears, mold stylet and tube into desired shape, & lubricate tip
2. Examine laryngoscope and ensure lightbulb or lightsource is working
3. Have suction functional & readily available
4. Preoxygenate the patient
5. Place patient in the sniffing position (maintain neutral position if c-spine injury is suspected)
6. Hold laryngoscope in left hand and open the mouth with the right hand
7. Insert the laryngoscope and sweep the tongue from right to left
8. Insert the ET tube until the cuff is just past the vocal cords
9. Remove laryngoscope and stylet
10. Inflate the cuff with approximately 5-10 ml of air (in infants & young children, tube may be uncuffed or require much less inflation volume)
11. Attach BVM, capnogram, ventilate and assess ETCO2 (colorimetric or waveform), lung sounds, and epigastric sounds
12. Secure the tube