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Emergency Tracheostomy Management

Call for help


Look, listen & feel at the mouth and tracheostomy Difficulty breathing? Increased RR? Cyanosis? Decreased SpO2?

No
Call CODE BLUE CPR if no pulse

Is the patient breathing?

Yes
Apply high flow oxygen to BOTH the face and the tracheostomy

Assess tracheostomy patency

Remove speaking valve or cap (if present)

Can you pass a suction catheter?

Yes

Is the patient improving?

No
Remove, unblock and replace inner cannula

No

Yes
Monitor need for further intervention

Connect Ambu Bag Inflate cuff (if present)

Bag moves with respiration?

Yes

Yes
Improving?

No
Is there any respiratory effort?

No
Support ventilation Call CODE BLUE CPR if no pulse

Yes
Support ventilation Continue ABC assessment Notify physician

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