What should be secured in a casualty's airway during evacuation if necessary?

During an evacuation, especially in a tactical combat casualty care scenario, securing the airway is paramount to ensure that the casualty can breathe effectively and is not at risk for airway obstruction. An endotracheal tube or supraglottic airway device fulfills this requirement by providing a secure pathway for air to enter the lungs, which is crucial, especially if the casualty is unconscious or at risk of losing their airway due to injury or altered consciousness.

Using an endotracheal or supraglottic airway device allows for effective ventilation, which is vital in the treatment of casualties. These devices also help prevent aspiration of blood, vomit, or other foreign materials, protecting the casualty’s respiratory function.

While a suction device is important for clearing obstructions, it does not secure the airway itself. A standard face mask is often used for delivering oxygen but does not provide the same level of control over the airway as the more advanced devices. Oxygen tanks are critical for patient care, especially if hypoxia is a concern, but they do not address the immediate need for airway management. Thus, securing an endotracheal tube or supraglottic airway device is essential in ensuring that the casualty maintains a patent airway during evacuation.