| If you are transporting patient with a tracheostomy, you should be prepared to reinsert a dislodged tube. Equipment that is needed includes scissors with a blunt edge, an emergency tube, and two lengths of ¼ inch cotton tape with a short plastic backing. In a non-emergent situation the area around the stoma is cleaned with warm water, but this is not always possible in emergency situations. These procedures should only be performed by those EMS providers trained to do so. In some instances, BLS providers are able to assist with the removal and re-insertion of a tracheostomy tube under the direct verbal directions over a recorded line of the medical director. Refer to your local protocol.
In addition, you have to ensure that any circumferential tracheal tapes do not impede the flow of blood to the head or allow blood to return to the heart. If the tape is too tight it will obstruct the venous drainage of blood from the head leading to further complications. | | | | |
