The Jaw Thrust Technique
In this film, we demonstrate The Jaw Thrust Technique, a vital skill for opening the airway when you suspect a neck or spinal injury. In many emergencies, you cannot safely use a head-tilt, chin-lift because moving the head may worsen the injury. Therefore, you need a method that protects the spine while still allowing air to move freely. The jaw thrust gives you exactly that.
Why the Airway Needs Immediate Attention
When a person becomes unresponsive, their muscles relax instantly. As a result, the tongue can fall backward and block the airway. This prevents oxygen from reaching the lungs, brain, and heart. Because of this, keeping the airway open becomes your top priority. Every second counts, especially when you suspect spinal damage.
When to Use the Jaw Thrust
You should use this technique whenever you want to protect the neck from movement. For example, you may face this situation after a fall, a sports injury, or a road traffic collision. Additionally, during CPR, you may prefer the jaw thrust to maintain head alignment. However, if you know the spine is not injured, a head-tilt, chin-lift remains easier and quicker.
How to Perform the Jaw Thrust Technique
Now let’s break down the steps clearly so you can act with confidence.
- Kneel at the top of the casualty’s head in the “over-the-head” position. Ensure they lie flat on their back on a firm surface. This position gives you stability and full control.
- Rest your elbows on the surface beside their head. This anchors your arms and helps maintain strength during the lift.
- Place your index and middle fingers behind the angles of the lower jaw, just below each ear. This grip lets you lift the jaw without moving the neck.
- Lift the jaw upward and forward in one smooth motion. Try to bring the lower teeth slightly in front of the upper teeth. This forward movement pulls the tongue away from the airway and creates a clear passage for air.
- Avoid any head tilt. Keep the neck completely neutral. The whole goal is to open the airway while preventing spinal movement.
- Once the airway is open, check for normal breathing for up to 10 seconds. Look for chest rise, listen for breath sounds, and feel for air movement on your cheek.
- Because this technique requires strength and endurance, swap with another trained rescuer whenever possible to maintain effectiveness.
After Opening the Airway
If the casualty is breathing normally, maintain the jaw thrust until help arrives. If spinal injury has been ruled out, you may place them into the recovery position. However, if they are not breathing normally, keep the airway open and start CPR immediately.
Why This Technique Matters
The Jaw Thrust Technique may look simple, but it can save a life. By preventing airway obstruction and protecting the spine at the same time, you give the brain and heart the oxygen they desperately need during a critical emergency. When every second matters, mastering this technique helps you act quickly, safely, and effectively.
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