Introduction: One mantra of emergency care is “no airway, no patient.” However, when teaching basic life support and advanced cardiovascular life support (ACLS) management of critical patients, the cardiac support is often emphasized over the airway management. Given the importance of the specific skill of airway management, this simulation focuses on airway management using high-fidelity adult simulation mannequins. Methods: This simulation case is designed to last approximately 15-20 minutes. During this time participants must assess the patient and collect a medical history, recognize the presence of a critical airway threat, and take appropriate steps to reclaim the airway. Results: This case has had three trial runs with a total of seven medical students. In general the reception from these medical student learners was positive. Overall, they endorsed that the case enhanced their future clinical practice. In response to the question “One thing I learned that I can use to improve my clinical practice,” one participant reported “The fact that McGill forcepts exist [sic]” and another stated “…Also the McGill forceps were helpful to see [sic].” Discussion: Initially it was our intention to create this simulation for a pediatric patient, but the overly narrow tracheal and laryngeal diameter of our facility’s pediatric mannequin precluded this possibility. The case could be adapted to a child with only minor changes, such as: beginning with a pediatric high-fidelity mannequin and then switching to an airway task trainer or adult high-fidelity mannequin for the steps of airway management; modifying the historical and social factors to be age appropriate.
- Perform primary assessment/reassessment (airway, breathing, circulation, and deficit) as appropriate based on initial and evolving patient condition.
- Perform a focused past and present medical history, and physical exam.
- Recognize the presence of a critical airway threat (i.e., foreign body obstruction).
- Take appropriate steps to reclaim the airway (i.e., object removal, surgical airway, etc.).
- Arutyunyan T, Odetola F. Foreign body in the airway: when imaging is not enough. Clin Pediatr (Phila). 2014;53(2):186-188. http://dx.doi.org/10.1177/0009922813475705
- Casalini A, Majori M, Anghinolfi M, et al. Foreign body aspiration in adults and in children: advantages and consequences of a dedicated protocol in our 30-year experience. J Bronchology Interv Pulmonol. 2013;20(4):313-321. http://dx.doi.org/10.1097/LBR.0000000000000024
- Chang A, Pereira K. Tracheal foreign bodies: are radiographs misleading? Pediatr Emerg Care. 2013;29(4):515-517. http://dx.doi.org/10.1097/PEC.0b013e31828a3c5f
- Faguy K. Imaging foreign bodies. Radiol Technol. 2014;85(6):655-678.
- Gantwerker E, Hamilton S, Casper K. A fish way out of water: case report of a unique airway foreign body. Ann Otol Rhinol Laryngol. 2014;123(4):232-234. http://dx.doi.org/10.1177/0003489414524167
- Kenth J, Ng C. Foreign body airway obstruction causing a ball valve effect. J Royal Soc Med Short Rep. 2013;4(6):2042533313482458. http://dx.doi.org/10.1177/2042533313482458
- Kinsey C, Folch E, Majid A, Channick C. Evaluation and management of pill aspiration: case discussion and review of the literature. Chest. 2013;143(6):1791-1795. http://dx.doi.org/10.1378/chest.12-1571
- Singh H, Parakh A. Tracheobronchial foreign body aspiration in children. Clin Pediatr (Phila). 2013;53(5):415-419. http://dx.doi.org/10.1177/0009922813506259
This is an open-access article distributed under the terms of the Creative Commons Attribution license.