Tracheostomy learning package

Managing Emergencies

It is important that you know how to respond to problems that the child could experience [2].

You will need to be taught skills to deal with these situations [2].

Try to remain calm and do as you have been taught [2].

Remember if you need emergency assistance, dial 000.

Blocked tube

A blocked tube is usually caused by a build up of secretion [2]. If this happens, you might notice the child breathing harder and fast [2]. The child may also become anxious, sweaty, or pale, grey or blue around their lips [2]

If this occurs try to suction the tube. If suctioning does not clear the tube or you are not able to insert the suction catheter, you will need to change the tube [2].

Accidental removal of tube

Occasionally tracheostomy tube’s fall out or are pulled out by children [2].

Try not to panic and replace the tube as you have been taught [2]. If the tube does not go back in, allow the child to rest briefly and try again [2]. If you are still not able to replace the tube try a smaller size tube [2]. Call for an ambulance and come to hospital [2].

» Video of managing emergencies [wmv]

Basic life support

You will need to know how to help the child if they ever stopped breathing [2].

A training session is required to show you how to do this. As a reminder, these are the steps to follow:

  1. Danger
  2. Response
  3. Airway
  4. Breathing
  5. Compressions