Prehospital Childbirth Neonate Airway | Part 3 | EMS Training & Education | EMT - EMR - Paramedic

This video is primarily designed for the Prehospital Childbirth Rescuers. Most agencies stock their inventory with pre-made Obstetrics Kits and all of them include a bulb syringe for suctioning the neonates airway. In most cases, the bulb syringe will not suction much fluids, because there isn't much secretions to suction. However there will be smaller amounts of amniotic fluids on or about the airway orifice of the nose and mouth.

Neonates are normally born with some fluids in their airway, which was present in the womb. Therefore it is expected to find secretions in their nose and mouth. Clearing the airway can be done in many ways; even gravity can help. Holding the newborn facing down briefly will allow gravity to drain fluids out if the airway naturally if a bulb syringe or towel isn't present.

Wiping the airway is the latest school of thought, because most newborns have a small amount of fluids and can easily be wiped off. It is important to plan ahead and have a "sponge" such as a sterile towel, gauze, or some other type obsorbant materials that doesn't fall apart to do the job. If the amount of fluids is excessive or deep withing the airway, the bulb syringe is the best tool to clear the airway. Particularly if the newborn is going to immediately breast feed and the sound of crackling fluids are heard. Suction with the bulb syringe for a patent airway.

In my observation, many EMS students handle the bulb syringe incorrectly. The student doesn't comprehend the suction mechanism and demonstrate it incorrectly during tests. Many instructors and students simulate the discarding of fluids in mid-air without care. POOR INSTRUCTION! POOR HABIT!

This video should clarify best practices of clearing the neonates airway and use if the bulb syringe. Added footage included for Other Uses and Care of the bulb syringe!!!

DISCLAIMER: This video was created for the visually and hearing impaired audience in mind as we believe anyone should be able to learn. If there are any improvements, please feel free to comment, so that we can take your information under advisement.

The training video is designed for Students, First Responders, and Emergency Medical Personnel. The information provided in the video is primarily designed for Emergency Medical Students that need a visual of the skill before attending their Skills Lab to practice and test. Every school, college, organization and agency may follow different training protocols, therefore adjustments may be made to fit training and testing needs. The video is also designed for First Responders that need to "Refresh" their knowledge, skills and abilities to improve their performance in the field. Whether you have the specific equipment, make-shift props, or simply observing, the video is designed for you to watch and practice by following the instructions and repeating the information provided. Pausing the video is helpful, so that you may read instructional information and repeat for the purpose of memorizing key concepts. Note that the displayed text and the instructor verbiage may not always match, because the idea is for you to formulate your own phraseology while hitting the key points. Although you are expected to know specific terminology, the manner in which you express them should feel natural to you when verbalizing it out loud to your classmates, proctor, co-workers and/or patient; especially if English is a second language. Always check with your EMS Instructor for feedback to ensure performance expectations.

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