EMS World

AUG 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | AUGUST 2018 37 patient weight range (in k g); 2. Recommended cuff inflation in mil- liliters of air. The front of the LMA Supreme airway indicates: 3. Recommendation for use based on patient weight range (in k g); 4. Recommended cuff inflation in mil- liliters of air. Note: The size of the gastric access tube recommended is found in the "instructions for use" available on the Teleflex website. i-gels (Intersurgical) i-gel air ways are similar to other lar yn- geal mask air ways in many respects, but a significant dif ference is that they are made of a flexible silicone-like material that does not require inflation. In coun- tries outside the United States, i-gels are used extensively in both prehospi- tal and hospital-based care of children and adults. Inte r su r gic al, th e manu fac tu re r of i-gels, has indicated pediatric i-gels are not yet approved for prehospital/emer- genc y resuscitation use in the United States. Intersurgical s ays it's working toward obtaining U.S. p ediatric i-gel approval; however, at this time any pre- hospital ser vices using them with chil- dren should do so only under approval of their medical director. Conclusion So what's the takeaway message? When selecting and using pediatric alternative airways, the information is out there. You just have to know where to look and then read the directions before all else fails. ABOUT THE AUTHORS Scott DeBoer, RN, MSN, CPEN, CEN, CCRN, CFRN, EMT-P, is an international pediatric seminar leader and nurse consultant with more than 30 years of nursing experience. He retired from flight nursing in 2015 following more than 20 years with the University of Chicago Hospitals' UCAN flight team. He is the founder and primary seminar leader for Pedi-Ed-Trics Emergency Medical Solutions. Michael Rushing, NRP, RN, BSN, CEN, CPEN, CFRN, TCRN, CCRN-CMC, is AHA coordinator for Baptist Health Care, Pensacola, Fla., and paramedic adjunct professor at Northwest Florida State College, Niceville, Fla. Lisa DeBoer is president and cofounder of Pedi-Ed- Trics Emergency Medical Solutions. Michael Seaver, RN, BA, is a healthcare informatics consultant based in Chicago. AIRWAY Close inspection of these devices reveals sizing and procedural instructions. Courtesy PediEd.com/airwaycharts Scott and Lisa DeBoer are featured speakers at EMS World Expo Oct. 29-Nov. 2, 2018 emsworldexpo.com MORE ONLINE! For Part 1 of this series visit www.emsworld.com/article/220734

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