conditions that result in blood in airway not related to trauma"

chaz90 said:
Oddly, this isn't the first time I've seen someone wonder if a AAA causes an upper GI bleed. Perhaps a confusion of "all tubes in the neck are the same" and Mallory Weiss tear instead of thoracic aortic aneurysm dissection? It seems to indicate confusion on several different levels.
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Well, a AAA can cause an aortoenteric fistula, which can cause some pretty massive bleeding into the GI tract. Usually occurs in patients that have had their AAA repaired.
 
Fair amount of these cavorting across the veldt...

zebra.jpg
 
coolidge said:
What on line reference do you recommend
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You didn't search very hard. This was in the top dozen hits when I googled "human anatomy": Netter's Atlas of Human Anatomy

Now you can do your own homework.

In the time it's taken you to post several times in this thread, you could have found the answer yourself online.
 
sorry I am typically very good at finding information

Sorry I am typically very good at finding information on the web.
 
Robb said:
You really think an NPA or OPA is going to protect an airway with an active hemorrhage in it?

Really?

Suction is a key component of airway control, especially with BLS airway adjuncts. Why do you think trach and long term intubated patients have a soft suction catheter with a sterile sheath built into the vent circuit?

Try and BLS a messy airway without suction and let me know how that works out for you.
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I never said NPA or OPA will protect someone with active hemorrhage. I said suction clears the airway and adjuncts maintain the airway, or perhaps you learned something different?

You can joust with that yankauer to your hearts delights this will not save someone with ruptured esophageal veins lol

It called in-line suction and it's implemented to maintain sterility/easy of use/cost savings because you are introducing catheter tip invasivelly further down the trachea into the lungs. Otherwise it's french catheter every time, the cost adds up, not very convenient, VAP etc. Also it is not build into the circuit it's an add on, which can be added and removed as required.
http://intensivecare.hsnet.nsw.gov.au/suction-catheters

Airway requires 3 things

Is it open? Or do I need to open it? Head tilt chin lift/Jaw thrust

It is it clear? Or do I need to clear it? (Suction man to the rescue)

Is it maintained? Or I need to maintain it with OPA NPA ETT Rescue.
 
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Chase said:
You actually hook up in-line suction in the ambulance?
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Not in the ambulance, usually in the sending facility if they don't have one place (i.e. sending facility have arrest, tubed, rosc thrown on a vent no in-line and we arrive)
 
The reason you aren't getting the answers you are looking for is that your question is hopelessly ambiguous.

Your "Airway" extends from the opening of your nose and mouth down to your terminal bronchioles and alveoli. In all of that there are many different divisions, physiologically and anatomically, a HUGE amount of vasculature, and literally hundreds of things that could put blood in there somewhere.

You need to be more specific with your question.

If this is indeed a homework question, give us some context and maybe that multiple choice options as this would be a horrible open ended question.

If it is in fact an open ended question then pick any one of the things that have been mentioned, nearly all of them are right.
 
We had a guy code on us once and he had pink foam coming from his lungs. He died. Turns out his artificial heart valve had failed, so every time his heart beat it pushed more blood into his lungs.
 
jefftherealmccoy said:
We had a guy code on us once and he had pink foam coming from his lungs. He died. Turns out his artificial heart valve had failed, so every time his heart beat it pushed more blood into his lungs.
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Pink, frothy sputum is extremely common in cases of CHF exacerbation and/or acute pulmonary edema. You'll see it backing up into ET tubes fairly frequently.
 
chaz90 said:
Pink, frothy sputum is extremely common in cases of CHF exacerbation and/or acute pulmonary edema. You'll see it backing up into ET tubes fairly frequently.
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Those are the worst airways. Virtually impossible. Had one a while backs that I literally had to pull the yankauer off, turn the suction all the way up and stick the tubing in their mouth to get the king to seat correctly.

Then I couldn't decided if I should use PEEP or not? They're in cardiac arrest and I don't want to increase the intrathoracic pressure anymore and reduce ventricular filling but at the same time they don't have any chance to oxygenate whatsoever and its pretty obvious hypoxia is probably the etiology....

Made me a very anxious, grumpy and snippy new medic that night.
 
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