induce vomiting

Prepare negative pressure suction

Video laryngoscope

Call a superior doctor if conditions permit

1. Based on the condition and time urgency, decide whether to induce vomiting and use drugs to neutralize gastric acid. Depending on the condition, decide whether to give intravenous injection of haloperidine 2 mg or tropisetron 2 mg.

2. Fentanyl 0.1mg can be used after giving antiemetics first.

3. Inhale oxygen with a sealed mask for at least 10 deep breaths (which can bring the blood oxygen partial pressure to more than 200 mmHg), and do not use manual air bags to pressurize artificial respiration.

4. Inject propofol 1~2 mg and cisatracurium 0.15 mg/kg intravenously, and use the thumb and middle finger to compress the cricoid cartilage backward to occlude the esophageal opening.

5. When the muscle tremors reach the fingers, the laryngoscope exposes the glottis and inserts the catheter. During the intubation process, cricoid cartilage pressure is continued.

6. If the epiglottis is provoked to cause reflux, aspirate the reflux material under direct vision of the laryngoscope.

7. After intubation enters the trachea, inflate the air bag to seal the trachea as soon as possible.

Transferred to ICU with tube