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©Robert Cole
Simplified Prehospital Airway Rescue Continuum (SPARC)
Every Airway, Every Time
 Burn Trauma to airway-> Skip “B”.
 Proper Airway (Sniffing , head elevated) position improves success!
 NO DESAT /Preoxygenation saves lives!
o If patient Desats = Ventilate via mask/OPA immediately
 Communicate the plan and the “If this goes wrong” plan
 Checklists are good
 Rescue Airway and Cric Kit by the head
 Commit to commit! No patient should die waiting for you to act.
• Alternate Provider? (Most experienced)
• Assist Device (Bougie, VL)?
• Adjust Position= Max Success
• 3: MAX of three attempts!
• Move to "B" Early, not late
A-3
• Blind AIrway (supraglottic Airway)?
• BVM (Can you Bag Them?)?
• 2: Two attempts to solve the problem
then move on.B-2
• Cric: Bougie assisted Surgical (Ideal)
• Cric Kit: (Acceptable)
• Cric: Needle (acceptable)
• 1: Chose 1 method and do it now.C-1

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SPARC Airway

  • 1. ©Robert Cole Simplified Prehospital Airway Rescue Continuum (SPARC) Every Airway, Every Time  Burn Trauma to airway-> Skip “B”.  Proper Airway (Sniffing , head elevated) position improves success!  NO DESAT /Preoxygenation saves lives! o If patient Desats = Ventilate via mask/OPA immediately  Communicate the plan and the “If this goes wrong” plan  Checklists are good  Rescue Airway and Cric Kit by the head  Commit to commit! No patient should die waiting for you to act. • Alternate Provider? (Most experienced) • Assist Device (Bougie, VL)? • Adjust Position= Max Success • 3: MAX of three attempts! • Move to "B" Early, not late A-3 • Blind AIrway (supraglottic Airway)? • BVM (Can you Bag Them?)? • 2: Two attempts to solve the problem then move on.B-2 • Cric: Bougie assisted Surgical (Ideal) • Cric Kit: (Acceptable) • Cric: Needle (acceptable) • 1: Chose 1 method and do it now.C-1