Airway Management in TFC
A blocked airway can kill within minutes, and on the battlefield it is often fixed with simple moves. You learn to spot a blocked airway, open it, keep it open with positioning or an NPA, and help a medic with a bag valve mask.
What to remember
- Signs of a blocked airway: the casualty is in distress, snores or gurgles, has blood or objects in the airway, or has severe facial injury.CLS M07 Slides, PDF p.6
- Remove anything you can see in the mouth, but never do a blind finger sweep.CLS M07 Slides, PDF p.6
- In an unconscious casualty the tongue can fall back and block the windpipe. Open the airway with head-tilt chin-lift, or with jaw-thrust if a neck or spine injury is possible.CLS M07 Slides, PDF p.7
- A casualty who can breathe on their own should stay in the position that lets them breathe best, including sitting up. Do not force them into another position.CLS M07 Slides, PDF p.10
- An unconscious casualty who is not in shock goes into the recovery position once the airway is open.CLS M07 Slides, PDF p.11
- An NPA goes in a nostril and works for awake or unconscious casualties. Skip it if clear fluid leaks from the nose or ears, a possible sign of skull fracture.CLS M07 Slides, PDF p.12
- For a bag valve mask, seal the mask over the mouth and squeeze firmly for 1-2 seconds, once every 5-6 seconds. If positioning and an NPA do not keep the airway open, tell medical personnel at once.CLS M07 Slides, PDF p.15-17
Skill: Head-tilt/chin-lift
Tap each step as you rehearse it.
Skill: Jaw-thrust maneuver
Tap each step as you rehearse it.
Skill: Recovery position
Tap each step as you rehearse it.
Skill: Nasopharyngeal airway (NPA) insertion
Tap each step as you rehearse it.
Skill: One-person bag valve mask (BVM)
Tap each step as you rehearse it.
Skill: Two-person bag valve mask (BVM)
Tap each step as you rehearse it.
Where people go wrong
- Sweeping the mouth with a finger when you cannot see anything in it.CLS M07 Slides, PDF p.6
- Forcing a casualty who is breathing on their own into a position or procedure that makes breathing harder.CLS M07 Slides, PDF p.10
- Putting in an NPA when clear fluid is coming from the nose or ears.CLS M07 Slides, PDF p.12
- Using head-tilt chin-lift when a neck or spine injury is possible, or lifting the chin with your thumb.CLS M07 Skill Instructions, PDF p.2
Check yourself
Questions on this module, each with the reason and the slide it came from.
Practice Module 7Official course material
On Deployed Medicine, the Defense Health Agency’s training site. Some items ask you to sign in.
- VideoHead-Tilt Chin-Lift (opens Deployed Medicine in a new tab)
- VideoJaw-Thrust Maneuvers How-To (opens Deployed Medicine in a new tab)
- VideoNasopharyngeal Airway How-to (opens Deployed Medicine in a new tab)
- VideoOne-Person BVM and Two-Person BVM How-to (opens Deployed Medicine in a new tab)
- VideoRecovery Position (opens Deployed Medicine in a new tab)
- PDFSlides (didactic presentation) (opens Deployed Medicine in a new tab)
- PDFSpeaker notes (opens Deployed Medicine in a new tab)
- PDFSkill instructions (opens Deployed Medicine in a new tab)
- PDFSkills assessment checklist (opens Deployed Medicine in a new tab)
- CardSkill card: Head-Tilt/Chin-Lift (opens Deployed Medicine in a new tab)
- CardSkill card: Jaw-Thrust Maneuver (opens Deployed Medicine in a new tab)
- CardSkill card: Recovery Position (opens Deployed Medicine in a new tab)
- CardSkill card: Nasopharyngeal Airway (NPA) Insertion (opens Deployed Medicine in a new tab)
- CardSkill card: One-Person Bag Valve Mask (BVM) (opens Deployed Medicine in a new tab)
- CardSkill card: Two-Person Bag Valve Mask (BVM) (opens Deployed Medicine in a new tab)
Course objectives: T8: E46-50 (the Course Plan schedule shows E45-49; the slides number them 46-50)
This program includes clinical facts and medication doses drawn from official guidelines for test preparation only. Nothing on this site is medical advice or clinical guidance, and none of it is a substitute for clinical judgment. For any real-world care, follow current official protocols and your medical direction.