Airway suctioning is a critical skill used to remove blood, vomit, secretions, and other material that may obstruct the airway. Trauma patients frequently present with airway contamination, making suctioning an important component of airway management.

The presence of blood, vomit, teeth, or other debris can interfere with oxygenation, ventilation, and airway assessment. Providers should recognize airway contamination early and intervene before compromise occurs.

Common indications for suctioning include:

• Blood in the airway
• Vomit or gastric contents
• Excessive oral secretions
• Visible airway contamination
• Gurgling respirations

Key principles of suctioning include:

• Use suction whenever airway contamination is present.
• Clear the airway before attempting advanced airway procedures.
• Suction only as long as necessary to clear secretions.
• Reassess airway patency following suctioning.
• Be prepared for repeated suctioning in patients with ongoing bleeding or vomiting.

Trauma patients may require frequent suctioning throughout assessment, treatment, and transport. Maintaining a clear airway is essential for effective oxygenation and ventilation.

Remember: If you cannot see the airway because of blood, vomit, or secretions — clear it first.