喉罩取出过程

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hello， i'm brianna and air force medic i'm going to teach you how to properly in certain extraglotic airway or an ega， it is used in a deeply unconscious casualty with an airy obstruction or impending airway obstruction also remember that in casualties with facial trauma， facial burns or suspected inhalation injury a nasal， ferrangeo airway or extragolatic airway may not be adequate to controlled the airway and these instances the surgical cryco thyrodotomy may be a better option consider body substance isolation if a combat live saver is available to direct them to assist inspect the upper airway for visible obstruction position the casualties head in the sniffing position alternate position is the neutral position open the airway hyperventilate the casualty for a minimum of thirty seconds using a bvm and oxygen if available then select the appropriately size ega based on the casualties weight size four fits most military populations size three yellow small adult thirty to sixty kilograms or sixty six two hundred and thirty two pounds size four green medium adult fifty to ninety kilograms or one hundred and ten to one hundred ninety nine pounds size five orange large adult greater than ninety kilograms or greater than a hundred ninety nine pounds inspect in test equipment lubricate the distal end of the ega with sterile water based lubricating jelly next firmly grasp the ega with the dominant hand along the integrated bite block position the ega so that the cup outlet is facing toward the chin open the mouth with a crust or scissors finger technique introduce the leading soft tip into the mouth directed toward the hard pallet now glide the device downward and backward along the hard pallet with a continuous， but gentle push until a definitive resistance is felt if early resistance is encountered during insertion remove and perform the maneuver to open the airway do not apply excessive force on the device steering insertion at this point the tip of the airway should be located in the upper esophage yiel opening and the cuff should be located against the layeron geel framework it is correctly positioned when the incisors are in line with the horizontal line at the middle of the intake roll by ite bock to avoid the possibility of the device moving out of position before being secured in place hold the ega in the correct position until fully secured attach the bvm to the ega and ventilate the casualtine assess ventilation also take lung fields if possible watch for rise and fall the chest also take the abdomen then secure the device to the casualty tape it from maxilla to maxilla document all findings and treatments on a dv form thirteen eighty tc， three casualty card and attach it to the casualty。

以后这个这个牙齿是基本上是吻合的，我们把这个领带要要固定一下，要不然 然后我们打气了。 这个时候第一步还不是检查，第一步是通气，你回到下去以后你就看能通气了，是吧？能通气不一定生门对的特别好。第二步我们检查生门对的好坏，检查时候先动一下这个， 大家看这个给我一个录像， 这个呢就是可以看到生门的。