When should an EMT consider using advanced airway management?

Advanced airway management should be considered when a patient is unable to maintain their airway or has compromised breathing. This situation indicates that the patient is at high risk for airway obstruction or inadequate ventilation, which could lead to severe complications or death if not addressed promptly.

In scenarios where a patient's ability to breathe effectively is impaired—whether due to an altered level of consciousness, trauma, drug overdose, or other medical conditions—traditional methods of airway management may not suffice. Advanced techniques, such as intubation or the use of supraglottic airways, can secure the airway and ensure proper ventilation and oxygenation.

Other situations, such as a conscious patient who is able to talk, do not typically warrant advanced airway management since they can maintain their own airway. Relying solely on conditions like cardiac arrest or a patient’s request for advanced management without appropriate clinical indications may lead to unnecessary interventions or complications.