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It lists required materials (student checklist, airway simulator, i-gel and holder, surgical lubricant) and provides instructor guidelines plus step-by-step performance instructions, including sizing, lubrication, insertion orientation, ventilation attachment, auscultation, monitoring, and documentation on a TCCC Casualty 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chin, not auscultating both chest sides and the epigastrium, not establishing pulse oximetry monitoring, or not documenting on a TCCC Casualty Card (DD Form 1380).","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},363876,1790574309,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & 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extraglottic airway.  \nReferences:  \nPHTLS (Military Version) Eighth Edition, Jones and Bartlett Learning  \nEvaluation: Students will be evaluated as a Pass/Fail (P/F) . The instructor will verify the accuracy of the student’s ability to insert an i-gel EGA on an airway trainer by means of observing the student’s procedures and technique.  \nMaterials:  \nStudent Checklist  \nAirway Simulator, i-gel and holder, surgical lubricant  \nInstructor Guidelines:  \n1. Provide each instructor with a Student Checklist.  \n2. Ensure student has all required materials.  \n3. Read the Learning Objective and the evaluation method to the student.  \n4. Explain the grading of the exercise.  \n5. Allow time for the students to extract the information required from the instructorprovided scenario.  \nPerformance Steps:  \n1. Assemble all necessary equipment.  \n2. Verbalize the indications for an i-gel – an unconscious patient without significant direct trauma to airway/facial structures.  \n3. Verbalize the primary advantage ofthe i-gel: no need to fill the cuff with air and no need to monitor cuff pressure after inflation and with altitude changes.  \n4. Verbalize that i-gel size 4 is the correct size for the typical adult. Size 5 is used for adults larger than 200 pounds.  \n5. Assess the upper airway for visible obstruction.  \n6. Lubricate the i-gel with a surgical lubricant using the protective cradle as shown in the video.  \n7. Open the airway with a chin lift/jaw thrust maneuver.  \n8. Open the mouth with a scissor maneuver of the fingers.  \n9. Insert the airway into the mouth with the open side pointing towards the casualty’s chin. Insert until you feel resistance.  \n10. Secure the i-gel in place.  \n11. If assisted ventilation is required, attach a bag-valve-mask device to the i-gel port.  \n12. Auscultate both sides ofthe chest and the epigastrium.  \n13. Ensure that pulse ox monitoring has been established. Also use end-tidal CO2 monitoring if available.  \n14. Document the procedure on a TCCC Casualty Card. (DD Form 1380)  \nInsert an i-gel Extraglottic Airway  \nTask Completed  \n\n| Assembled all necessary equipment. | P/F | P/F | P/F |\n| --- | --- | --- | --- |\n| Verbalized the indications for an i-gel – an unconscious patient without significant direct trauma to airway/facial structures. | P/F | P/F | P/F |\n| Verbalize the primary advantage ofthe i-gel: no need to fill the cuff with air and no need to monitor cuff pressure after inflation and with altitude changes. | P/F | P/F | P/F |\n| Verbalize that i-gel size 4 is the correct size for the typical adult. Size 5 is used for adults larger than 200 pounds. | P/F | P/F | P/F |\n| Assessed the upper airway for visible obstruction. | P/F | P/F | P/F |\n| Lubricated the i-gel with a surgical lubricant. | P/F | P/F | P/F |\n| Opened the airway with a chin lift/jaw thrust maneuver. | P/F | P/F | P/F |\n| Opened the mouth with a scissor maneuver of the fingers. | P/F | P/F | P/F |\n| Insert the airway into the mouth with the open side pointing towards the casualty’s chin. Insert until you feel resistance. | P/F | P/F | P/F |\n| Secure the i-gel in place. | P/F | P/F | P/F |\n| If assisted ventilation is required, attach a bag-valve-mask device to the i-gel port. | P/F | P/F | P/F |\n| Auscultate both sides ofthe chest and the epigastrium. | P/F | P/F | P/F |\n\nCritical Criteria:  \n Did not lubricate the i-gel prior to insertion.  \n  Did not insert the i-gel with the open portion facing the casualty’s chin.  \n  Did not auscultate both sides ofthe chest and the epigastrium.  \n Did not ensure that pulse ox monitoring has been established.  \n Did not document the procedure on a TCCC Casualty Card. (DD Form 1380)  \nEvaluator’s Comments:  \nStudent Name:   Date:   Evaluator:   Pass:   Fail:","cbCaikRCG26mssMC","https://ap.wps.com/l/cbCaikRCG26mssMC","pdf",119955,"English","# Objective\n# Evaluation\n# Materials\n# Instructor Guidelines\n# Performance Steps\n# Critical Criteria\n# Evaluator’s Comments","[{\"question\":\"What is the learning objective for this skill sheet?\",\"answer\":\"To demonstrate the recommended procedure for insertion of an i-gel extraglottic airway.\"},{\"question\":\"How is student performance evaluated?\",\"answer\":\"Students are graded Pass/Fail based on the instructor observing the student’s procedures and technique on an airway trainer.\"},{\"question\":\"Which critical errors lead to failing the evaluation?\",\"answer\":\"Critical criteria include not lubricating the i-gel before insertion, inserting with the open portion not facing the casualty’s chin, not auscultating both chest sides and the epigastrium, not establishing pulse oximetry monitoring, or not documenting on a TCCC Casualty Card (DD Form 1380).\"}]","i-gel Extraglottic Airway - Skill Sheet - Insert an i-gel Extraglottic Airway | PDF",1790153816]