In a Tactical Field Care scenario in which an NPA has been inserted, how should you position the casualty when seeking medical aid?

In a Tactical Field Care scenario in which an NPA has been inserted, how should you position the casualty when seeking medical aid?

• A. Supine
• B. Prone
• C. On their side with their hand supporting their head (recovery position)
• D. Seated upright

Answer: (C)

Positioning the casualty in the recovery position with a nasal airway in place protects the airway and reduces the risk of aspiration while you seek medical aid. The nasal airway helps keep the airway patent, but an unconscious person can still have the tongue fall back or vomit secretions into the airway. Lying on the side allows secretions and vomitus to drain away from the airway by gravity, keeps the airway open by supporting the head so the airway remains aligned, and makes it easier for you to monitor breathing and assist if needed. Supine can allow the tongue to occlude the airway and doesn’t drain secretions well. Prone makes airway management and monitoring more difficult and can hinder ventilation. Seated upright offers poor protection against aspiration and doesn’t optimize airway patency.

Positioning the casualty in the recovery position with a nasal airway in place protects the airway and reduces the risk of aspiration while you seek medical aid. The nasal airway helps keep the airway patent, but an unconscious person can still have the tongue fall back or vomit secretions into the airway. Lying on the side allows secretions and vomitus to drain away from the airway by gravity, keeps the airway open by supporting the head so the airway remains aligned, and makes it easier for you to monitor breathing and assist if needed.

Supine can allow the tongue to occlude the airway and doesn’t drain secretions well. Prone makes airway management and monitoring more difficult and can hinder ventilation. Seated upright offers poor protection against aspiration and doesn’t optimize airway patency.