What is the first step to take in case of airway malfunction?

In the event of airway malfunction, the primary concern is ensuring that the airway is clear and that the patient can effectively ventilate. Suctioning the patient as needed is the first step because it helps remove any secretions, vomit, or other obstructive materials that could be compromising the airway. Maintaining a patent airway is critical for effective mechanical ventilation and patient safety; if the airway is blocked, all subsequent interventions would be ineffective.

While auscultation of the chest is important to assess lung sounds and tube placement, it is more beneficial after ensuring the airway is clear. Similarly, maintaining desired end-tidal CO2 levels and assessing tube placement or administering IV fluids are secondary steps that would follow once the airway is confirmed to be clear. By first addressing any immediate obstruction through suctioning, healthcare providers can proceed to other assessments and interventions with a focus on restoring optimal ventilation.