When do you use head tilt-chin lift and jaw-thrust maneuver What are the differences of the two?

In the setting of a possible cervical spine injury, the jaw-thrust maneuver, in which the neck is held in a neutral position, is preferred over the head tilt–chin lift maneuver.

When would we use a jaw thrust instead of the head tilt-chin lift method?

Traditionally, the jaw-thrust maneuver has been considered the better alternative (rather than the head-tilt/chin-lift maneuver) when a first aider suspects that the patient may have a spinal injury (especially one to the neck portion of the spine).

When do you use the jaw-thrust maneuver?

The jaw-thrust maneuver is used to relieve upper airway obstruction by moving the tongue anteriorly with the mandible, minimizing the tongue’s ability to obstruct the airway.

Why would you perform a head tilt-chin lift?

The head tilt-chin lift and jaw-thrust methods are indicated for conscious and unconscious patients who do not have an adequate airway. The purpose of these methods is to open and maintain a patent (clear) airway or to relieve a partial or total airway obstruction.

When do you not use jaw thrust maneuver?

Complications

1. Spinal cord injury if the cervical spine has an unstable bony or ligamentous injury.
2. Exacerbation of mandibular injury.

What 3 things should you avoid when performing the head tilt chin lift?

III. Technique

• One hand on forehead to tilt head back. Infant. Head in neutral position (sniffing position) Do not overextend head and neck. Child and adult. Head and neck slightly extended.
• Use other hand’s fingers under bony part of chin. Do not use thumb to lift chin. Lift Mandible upward and outward.

When do you not use jaw-thrust maneuver?

What should be avoided while doing the head tilt chin lift?

Avoid moving the neck and do the jaw-thrust maneuver first (before trying the head tilt–chin lift if needed to open the airway).

What is the most common cause of a blocked airway in an unresponsive person?

A relaxed tongue is the most common cause of upper airway obstruction in patients who are unconscious or who have suffered spinal cord or other neurological injuries. The tongue may relax into the airway, causing an obstruction. In some cases, other injuries complicate this phenomenon.

Which is better chin lift or jaw thrust?

In the setting of a possible cervical spine injury, the jaw-thrust maneuver, in which the neck is held in a neutral position, is preferred over the head tilt–chin lift maneuver.

When to use the head tilt chin lift maneuver?

The head-tilt with chin-lift maneuver is used in any patient in whom cervical spine injury is not a concern and is taught on most first aid courses as the standard way of clearing an airway. The head-tilt with chin-lift maneuver and the jaw-thrust maneuver are two of the main tools of basic airway management.

Is it safe to use the jaw thrust maneuver?

While the head-tilt/chin-lift is the preferred method, it can be dangerous to use on a patient who may have a cervical spine injury. That’s where the jaw-thrust maneuver comes in: it allows you to clear the tongue from the airway with minimal neck movement, allowing rescue breaths to be administered.

How to do a head tilt and a jaw thrust?

Then, using the fingers of your free hand, lightly lift the chin even further up. To perform the jaw-thrust maneuver, approach the patient so that you are facing the top of their head. Place each hand on either side of their face so that your thumbs are on the cheek bone and fingers are underneath the jaw bone.