KingAirway help!

TransportJockey

TransportJockey

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Well, I've searched and couldn't find exactly what I needed. I have an interview w/ practical skills testing on Monday afternoon. I just found out one of the stations is the King Airway. I've never even touched one of them before. Anyone got a video or quick run through on insertion (video would be most helpful) that I could look over before monday?
I've used MLAs, LMAs, even EOAs, but NM wouldn't let the King into scope for providers, so I'm at a little disadvantage here.

EDIT: And I haven't been able to search youtube yet since my phone doesn't like their site :P if you can post up a link for there I'll look at it hwne I get home tonight
 
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Have you used a combi? Think combi, with only one syringe that you use to inflate the cuffs.

[YOUTUBE]http://www.youtube.com/watch?v=ryyHWewl5ho&feature=fvw[/YOUTUBE]
 
We JUST (three hours ago) had training with the King airway! It's in our BLS protocol as of today. Simpler than the combitube but it's same deal, just inflate through the one port, pull it outward into place while squeezing the bag until air goes in, and ventilate through the one tube.

From our new protocols:

http://www.ssvems.com/pdf/section_11/1102.pdf

I actually signed on to the forum to ask a question about this protocol:

This says the King is not to be inserted when there are airway burns.
Why not? Tissue damage?
Given that they took intubation away from our EMT-IIs today when they gave us the King, that leaves us kinda in some trouble out here in fire country.
 
GranolaEMT said:
We JUST (three hours ago) had training with the King airway! It's in our BLS protocol as of today. Simpler than the combitube but it's same deal, just inflate through the one port, pull it outward into place while squeezing the bag until air goes in, and ventilate through the one tube.

From our new protocols:

http://www.ssvems.com/pdf/section_11/1102.pdf

I actually signed on to the forum to ask a question about this protocol:

This says the King is not to be inserted when there are airway burns.
Why not? Tissue damage?
Given that they took intubation away from our EMT-IIs today when they gave us the King, that leaves us kinda in some trouble out here in fire country.
Click to expand...

I'm assuming it's because it's not a tracheal airway and goes in the esophagus. With airway burns the problem is that the trachea has a tendancy to swell closed, so airways like the Combi and the King won't give you any advantage.
 
Linuss said:
Have you used a combi? Think combi, with only one syringe that you use to inflate the cuffs.

[YOUTUBE]http://www.youtube.com/watch?v=ryyHWewl5ho&feature=fvw[/YOUTUBE]
Click to expand...

Yep, MLA = Combi :) Thanks man. I hate that the first time I get to get hand on with this airway is during the practical skills portion of the interview
 
Just be honest and tell them you've never used a King before and it's new to you :)


As far as King and airway burns, I'd be on the side that it doesn't go in the trachea and as such if edema ends up closing the airway it's useless anyhow.
 
Linuss said:
Just be honest and tell them you've never used a King before and it's new to you :)


As far as King and airway burns, I'd be on the side that it doesn't go in the trachea and as such if edema ends up closing the airway it's useless anyhow.
Click to expand...

That's the plan, but I'd still like to know what I'm dealing with before I go :) I told my recruiter there that any other airway they put in front of me I could put in, but never touched that one. She's trying to get me some practice time in their classroom tomorrow afternoon
 
in MA as a basic...i cannot use any sort of airway such as an ETT or combi/king or LMA...when i took my recpirocity test for Louisiana i only found out the week before that there would be a combitube insertion on the test. I called up one of the instructions in the local area that the state told me to contact, he walked me through it verbally and i had never even seen one until the day of the test. I was in the same situation as you. I did it first time time and passed, very easy just pre oxygenate a few times lube it up and and place it in to the mark (there should be a two black lines that the teeth go between) then inflate the distal cuff then the proximal cuff attach the bvm and check for lung sounds which u should hear even if u missed the trachea. Just dont let go of the tube until its secure (for my test if u let go before secure it was automatic fail).
 
feldy said:
in MA as a basic...i cannot use any sort of airway such as an ETT or combi/king or LMA...when i took my recpirocity test for Louisiana i only found out the week before that there would be a combitube insertion on the test. I called up one of the instructions in the local area that the state told me to contact, he walked me through it verbally and i had never even seen one until the day of the test. I was in the same situation as you. I did it first time time and passed, very easy just pre oxygenate a few times lube it up and and place it in to the mark (there should be a two black lines that the teeth go between) then inflate the distal cuff then the proximal cuff attach the bvm and check for lung sounds which u should hear even if u missed the trachea. Just dont let go of the tube until its secure (for my test if u let go before secure it was automatic fail).
Click to expand...
That's combitube, and yep letting go of any advanced airway before it is secured is an autofail. If it was just that I wouldn't be worried. NM has LMA and Combi and EOA in basic scope, and I've intubated both manakins and real people in medic clinicals and internship, so that doesn't bother me either :P

NM Just didn't have the King approved for use, but so far it looks and sounds like a piece of cake. Plus I jsut got word I can go in tomorrow and play around a little in their classroom with it.
 
i was talking to some of the medics the hospital the other day and they said its a piece of cake...easier than combi in fact because you dont have to swith tubes if you missed the trachea. good luck.
 
Because you CAN'T "miss" the trachea.


It's designed to go in to the esophagus, and not the trachea, every single time.
 
sorry thats my bad...i left that part out its been a long day.
 
The King is pretty much idiot proof. Practically speaking, you lube it up, shove it in, and inflate the cuff. Done. There is a little more to it than that, but not much.
 
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