Aspiration

🔑 Key Priorities

• Minimise further contamination

• Secure airway and maintain oxygenation

---

🧠 Team Actions

Role	Task
Team Leader	Directs sequence and decision to intubate
Airway Manager	Suction, intubate, ventilate
Drug Assistant	Prepare RSI drugs, suction equipment

---

🧭 Management Algorithm

1. Call for help

2. Head down, left lateral position

3. Suction mouth and pharynx

4. Cricoid pressure if vomiting stops

5. Administer suxamethonium 1–2mg/kg IV

6. Intubate and suction below vocal cords

7. Confirm ETT placement and ventilate with 100% O₂

8. Monitor for hypoxia or bronchospasm

9. Consider bronchoscopy if particulate matter suspected

10. ICU referral if hypoxia, desaturation, or ARDS risk

---

🔄 Ideal Crisis Flow

            Aspiration Event
                ↓
    Position, Suction, Cricoid Pressure
                ↓
          RSI with Suction-Ready Intubation
                ↓
    Ventilate + Assess for Bronchospasm/ARDS
                ↓
         ICU Referral as Required