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Esophageal Airway

Discussion in 'EMS Talk' started by JJR512, Feb 22, 2011.

  1. JJR512

    JJR512 New Member

    Location:
    Maryland, USA
    EMS Training:
    EMT-Basic
    I like to watch reruns of Emergency! whenever I can, which are shown daily on the RTV (Retro Television) network at 3pm (check local listings).

    On the show, they frequently talk about an "esophageal airway". For example, Johnny or Roy will contact Rampart and the doc there will instruct the squad crew to start or place an esophageal airway.

    What the heck is an esophageal airway? The term implies it goes into the esophagus but if you put an airway into the esophagus, wouldn't you just end up inflating the stomach?
  2. EMSrush

    EMSrush New Member

    Location:
    New York
    I've never seen the show, but I would assume that they are referring to a multi-lumen airway that can be inserted blindly (usually into the esophagus, hence the nickname) such as a Combitube or a King Airway.
  3. reaper

    reaper Working Bum

    Location:
    In a Fantasy
    Its an EOA. Not used much any longer. Basically the same design as a king.
  4. JJR512

    JJR512 New Member

    Location:
    Maryland, USA
    EMS Training:
    EMT-Basic
    Is the concept that you plug up both the esophagus and the mouth/nose, so that when you provide air (O2) through the tube going into the mouth, it has no other place to go except into the lungs via the trachea?
  5. DEmedic

    DEmedic One half of a pair o' medics.

    Location:
    Mid Atlantic
    It was the EOA, a blind insertion device, but it had a mask along with it.

    [​IMG]

    There was also it's close cousin, the EGTA, Esophageal Gastric Tube Airway, allowing for gastric decompression.

    [​IMG]

    When I first became an EMT-I back in the late 80's, these were the airways we were allowed to use. Even then my instructor called the EOA the "essentially obsolete airway".
  6. EMSrush

    EMSrush New Member

    Location:
    New York
    Oooo! How cool! Thanks for the pictures!!
  7. EMSrush

    EMSrush New Member

    Location:
    New York
    How old is this show? Personally, I've always been a "Rescue 911" girl myself. Loved William Shatner....
  8. TransportJockey

    TransportJockey Active Member

    Location:
    TX/NM
    Heh EOAs... I trained on those and PTLs when I was in basic class in 07 in NM. I think only one or two services still has any on the truck.
  9. JJR512

    JJR512 New Member

    Location:
    Maryland, USA
    EMS Training:
    EMT-Basic
    1972-1978

    My signature is a quote from the show.
  10. usalsfyre

    usalsfyre You have my stapler

    Ahh yes, the "airway" that still required the user to maintain a mask seal. Good times...
  11. right there with you.
  12. reaper

    reaper Working Bum

    Location:
    In a Fantasy
    Come on, we all miss those days! Haha
  13. Akulahawk

    Akulahawk EMpTy eaRNer

    Location:
    Unincorporated Sacramento County
    EMS Training:
    EMT-Paramedic
    I remember the EOA/EGTA... Thankfully, I've never had to use one of those, though I was trained in how to. Back when, the LMA was just starting to hit the field and the Combitube was also starting to become popular.
  14. cfrench

    cfrench New Member

    Location:
    Alfred, Maine
    EMS Training:
    Critical Care Paramedic
    Yeah EOAs required you to maintain a mask seal but if you ran codes with no advanced airway options, the EOA was a GODsend. Immediately you did not have to worry about vomitus and only an idiot would put one in wrong (unfortunately there was an unacceptable amount of idiots out there I guess). I do find the Kings to be EOA 2.0 I kind of chuckle a bit when people make like they were tools of the devil. I need to bring them back to the very early 80's.
  15. EMSrush

    EMSrush New Member

    Location:
    New York
    I checked out Retro TV to see if I could find Emergency! because I've never watched that channel or show before....

    Unfortunately, hubby was in the room at the time, and he hasn't changed channel since I turned it on. Thanks a lot!! How much more Knight Rider, Magnum and A-Team can I possibly watch!? :p
  16. abckidsmom

    abckidsmom Dances with Patients Community Leader

    Location:
    Virginia
    EMS Training:
    EMT-Paramedic
    It's also on Netflix instant watch. I love to hear my 3 yo say, "They're getting a call! They've got to go now."

    I just found a PTL cleaning out a closet at our station week before last. We moved into this station in 1994, I'm not sure when we stopped using them. Pretty sure combitubes were the only blind airway device from at least 1998 on until Kings came out.
  17. I never found the EOA to be particularly useful.

    Even the current esophageal airways don't seem to be something to write home about. It is not like adequete ventilation cannot be obtained without them, and the patient usually aspirated what they were going to prior to putting one in anyway in my experience.
  18. cfrench

    cfrench New Member

    Location:
    Alfred, Maine
    EMS Training:
    Critical Care Paramedic
  19. MEDIC802

    MEDIC802 New Member

    Location:
    Alabama (War Eagle)
    EMS Training:
    EMT-Paramedic
    I too remember to day of doing mouth to mouth, stopping long enough to spit the pt's vomit from your mouth and then continuing, I remember using the EOA, always had a problem with snapping the mask in place and ,holding a good seal, Is it not blasphmy to work in ems or the fire service and have NO knowledge of John G and Roy D,this should be required watching material, even though sodium bicarb is no longer a front line drug.
  20. usalsfyre

    usalsfyre You have my stapler

    No matter what was wrong, a line with D5W, 1 amp of Bicarb and a 100mg Lidocaine bolus followed by a drip at 2mgs/min would fix it.

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