• 1. Use Universal Precautions
• 2. Prepare equipment- 12 or 14 gauge catheter attached to a 3cc syringe with saline
• 3. Maintain in-line stabilization if c-spine injury is suspected
• 4. Locate the landmarks – thyroid cartilage, cricoid cartilage and cricothyroid membrane
• 5. Prep the area
• 6. Grasp the larynx with the thumb and middle finger
• 7. Insert the needle through the skin at a 30°caudal angle
• 8. Advance while aspirating through the cricothyroid membrane until air bubbles are visible
• 9. Connect ETCO2 and jet ventilator or bag-mask device
• 10. Ventilate the patient at a 1:3 inspiratory to expiratory ratio
• 11. Secure catheter
• 12. Reassess the patient frequently and transport to nearest appropriate facility

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