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The head-tilt/chin-lift is the most reliable method of opening the airway. Treatment of unconscious patients focuses on preventing or treating obstructions of the airway, such as head-tilt/chin-lift and jaw-thrust maneuvers, while the use of the recovery position mainly prevents aspiration of things like stomach content or blood.
If cervical spine injury is a concern and/or the patient is immobilized on a long spine board and/or with a cervical collar; the jaw-thrust maneuver can be used instead. If the patient is in danger of aspirating; he or she should be placed in the recovery position or advanced airway management should be used. [1]
The head-tilt/chin-lift and jaw-thrust maneuvers are useful for the former while the recovery position is useful for the latter. If head-tilt/chin-lift and jaw-thrust maneuvers are performed with any objects in the airways it may dislodge them further down the airways and thereby cause more blockage and harder removal. [citation needed]
Opening of the airway via the jaw-thrust maneuver is the preferred method as the head-tilt maneuver is thought to be more risky for people with suspected spinal injury or inconveniency. If the person is in danger of pulmonary aspiration then they should be placed in the recovery position or more advanced airway management should be used.
The mandible should be positioned upwards by lifting the lower jaw and pushing the mandible upward. These steps are known as head tilt, chin lift, and jaw thrust, respectively. [ 15 ] If a neck or spinal injury is suspected, the provider should avoid performing this maneuver as further nervous system damage may occur. [ 15 ]
Advanced airway management is the subset of airway management that involves advanced training, skill, and invasiveness.It encompasses various techniques performed to create an open or patent airway – a clear path between a patient's lungs and the outside world.
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In managing a casualty's airway, a TCCC provider may position the casualty in the recovery position or utilize airway adjuncts such as nasopharyngeal airways, oropharyngeal airways, and supraglottic airways. [25] They may also utilize the jaw thrust and head-tilt/ chin-lift maneuver to open a casualty's airway. [25]