What is the first step in securing the airway?

Positioning the patient using a jaw-thrust or head-tilt is essential for securing the airway because it helps to open up the airway for ventilation. Depending on the patient’s condition and level of consciousness, obstructed airways are often caused by the tongue or other anatomical structures. The jaw-thrust maneuver is particularly useful when spinal injury is suspected, as it minimizes head and neck movement.

By placing the patient in the appropriate position, responders can ensure that airflow is not impeded, allowing for oxygenation and ventilation to occur effectively. This step sets a solid foundation for further airway management, whether through advanced techniques or adjuncts. Therefore, positioning is crucial as the first step in managing the airway, prioritizing the immediate need for adequate breathing.