Question

While using a bag-valve-mask to ventilate an unconscious
patient, an EMS provider inadvertently forgets to insert an
oral airway adjunct. What potential complication for the
patient might ensue because of this?

Answer 1

The potential complication that can be ensued by the patient are:

• They could choke on their tongue.

• They are more likely to lose their gag reflex.

The bag-valve-mask ventilation is a critical emergency skill and a management approach that permits patients to be oxygenated and ventilated until a more positive airway can be maintained.

This process can be achieved by using an OPA (oropharyngeal airway) method, or An NPA (nasopharyngeal airway) method. 

An EMS provider is an Emergency Medical Service Provider. When an EMS provider inadvertently forgets to insert an oral airway adjunct (OPA), the potential complication for the patient will be:

• Occlusion of the airway due to choking on their tongue when the patient is lying in the supine position.
• Similarly, the contraindication of using an OPA method is if the patient has a gag reflex, which can potentially make the patient lose their gag reflex.

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