What kind of airway adjunct can be used for unconscious casualties?

Prepare for the Tactical Combat Casualty Care (TCCC) – Hospital Corpsman Basic (HCB) Exam. Challenge yourself with realistic scenarios and multiple-choice questions, complete with detailed explanations. Ensure your readiness for combat care situations!

The choice of using a nasopharyngeal airway (NPA) or oropharyngeal airway (OPA) for unconscious casualties is appropriate because these adjuncts are specifically designed to maintain an open airway in individuals who are unable to protect their own airway due to a decreased level of consciousness.

The NPA is inserted through the nose and helps to bypass any obstruction that may be present in the oropharynx while providing a clear passage for air. It is effective in cases where the casualty is unconscious but has some degree of neurological function, allowing for spontaneous breathing.

On the other hand, the OPA is positioned into the mouth and extends to the oropharynx. It is particularly useful for unconscious patients who do not possess a gag reflex, making it an ideal choice since it doesn’t cause them to gag or choke. Both adjuncts help to ensure that the airway remains patent, which is critical in preventing hypoxia and allowing for effective ventilation.

In contrast, while a bag-valve mask is used to provide positive pressure ventilation, it requires a clear airway and typically works best when a patient is able to tolerate it, making it less suitable for use in unconscious patients without prior airway management. Likewise, an endotrache

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