Dec 22, 2008 · In my EMT class (about a year ago) we were taught to insert an OPA rotated 180 degrees, guide it in, and after feeling resistance, rotate it into correct orientation. I have heard that the guidelines recently changed and OPA has to be inserted at 90 degrees angle. Who changed it? AHA, ARC? What were the reasons for changing it?

Aug 14, 2011 · The OPA does in fact free up hands for the bagging. We had a resp arrest, and I needed both hands for the BMV but when his head wasn't tilted, there was a lot of resistance. We couldn't get the OPA in b/c of his clenched jaw, and the NPA for whatever reason did not cross our minds until much later, so I ended up having to use my knee to tilt ...

Oct 14, 2013 · Our Certificate IV Health Care (Ambulance) (EMT-B), use LMA, NPA, OPA & i-gels. Our Certificate II, Medical First Responders use OPA & NPA. (Please note, I have commented on this thread so my posts are over 5 so I can start posting links etc.) Good Luck Perth - Western Australia

Jan 12, 2013 · In most places an EMT-B may use an OPA (oropharyngeal airway) or NPA (nasopharyngeal airway). However, in some locales, this may be restricted. For example, King County Washington only allows use of an OPA. In other areas, EMT-Bs may be trained in the placement of a BIAD (blind insertion airway device) such as a King LT or Combi-Tube.

Oct 27, 2014 · I'll go for an OPA first. It does a better job at holding the tongue out of the way. However it offers zero protection from aspiration. If the patient accepts the OPA then the patient is pretty much going to get intubated (unless there is an easily reversible cause for the ALOC). If the patient has a gag reflex then I'll probably toss in a NPA.

Apr 13, 2004 · In Michigan an EMT-B can insert an OPA, NPA, and Combitube. I know in Ohio basics can insert all airways. I'm wondering what it's like where you are, and if you feel basics should be allowed to insert all airways. Personally I believe that EMT Basics should be able to insert any type of airway. Ohio allows this with a 10 hours advanced airway ...

Sep 5, 2014 · OPA is for somebody who has a problem likely to rapidly improve (e.g. GHB overdose) or as an interim measure until you can get an LMA in.def LMA is best thought of as "hands free bag and mask" for people who need a more definitive airway and where their problem is not going to rapidly improve. NPA is an alternative when somebody cannot take an OPA.

Feb 3, 2011 · If you don't think every patient that you are bagging requires an OPA you might need to go back to EMT-basic school. That is the most basic skill, and can make a different between a adequate and inadequate ventilation.

May 5, 2013 · For me, an OPA is typically a hold-over to intubation. ... P. Kyle Norris EMT-P FP-C #001928. May 5, 2013 #15

Dec 5, 2009 · This might at least partially depend on protocol. For example: according to the Ohio Revised Code, Ohio EMT-B's may intubate if the patient is apneic AND pulseless, but may place an OPA/NPA if the patient is "merely" apneic. Other than that, though, it's oftentimes a matter of what's in the best interest of the patient.