King LTS-D Blind Insertion
Airway Device
HCEC First Responder
Organization Training
Goal
• To prepare HCEC First Responder
Organization personnel to safely utilize the
King LTS-D Blind Insertion Airway Device
within the scope of the HCEC Fire and
Rescue Medical/Trauma Guidelines
Objectives
• Upon completion of the didactic and
practical sections of this program, the
candidate will be able to:
– Integrate the King LTS-D BIAD into traditional
basic life support airway management
– Demonstrate safe insertion of a King LTS-D
BIAD
– Demonstrate and/or describe procedures for
ensuring proper placement of the BIAD
Assessment
• Skills will be verified using an advanced
airway training mannequin under the
supervision of an approved HCEC FRO
Trainer
• Candidates must perform the skill without
critical errors as listed on the HCEC
Psychomotor Skill Verification sheet for
Blind Insertion Airway Device
Definition
• The King LTS-D is a single use blind
insertion airway device (BIAD).
• May be used by HCEC FRO EMT-B’s, EMTI’s and Paramedics, under the Fire and
Rescue Medical/Trauma Guidelines, who
have been credentialed by the HCEC
Clinical Division
Description
• A curved tube with ventilation ports between
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two inflatable cuffs.
The distal cuff is designed to seal the
esophagus.
The proximal cuff is designed to seal the
oropharynx.
At the proximal end of the tube is a 15mm
connector to be used with standard breathing
circuit or resuscitation bag.
The King airway is latex free product.
Size determined
by Pt’s height:
• Yellow: 4-5 ft
• Red: 5-6 ft
• Purple: > 6 ft
Indication
• Cardiac arrest after assuring continuous
compressions, defibrillation and BLS
airway management have been
completed.
Contraindications
• Patients who are conscious or who have
an intact gag reflex.
• Patients with known esophageal disease,
i.e. varices, alcoholism, cirrhosis, etc.
• Patients known or suspected to have
ingested caustic substances.
• Deforming facial trauma that prevents
proper sealing of the airway
Precautions:
• Vomiting and aspiration
• Excess pressure in abdomen
Instructions for use
• Use appropriate PPE.
• Prepare, position, and oxygenate the patient.
• Choose appropriate size based on patient’s
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height.
Test cuffs by inflating to recommended volume
of air and deflate cuffs completely before
attempting to insert.
Generously lubricate tube using a water based
lube.
Have suction available.
Insertion:
• Position the head in a slightly
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sniffing position, unless spinal
injury is known or suspected,
then maintain cervical
alignment and keep the head
in a neutral position.
Insert King rotated 45-90
degrees laterally and insert
into mouth
As you gently advance the
tube rotate tube to midline.
Advance tube until base of
connector aligns with teeth or
gums.
Cuff inflation:
• Inflate cuffs with minimum volume necessary to
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seal the airway according to tube size.
Attach to resuscitator bag and ventilate, gently
withdrawing the airway until ventilation is easy
and free flowing.
Monitor end tidal CO2 if available.
Assure chest rise and fall. Auscultate breath
sounds.
Secure tube, using a commercially approved
device, noting depth of tube placement.
Transition of care:
• Relay to the receiving medic unit:
– Time, size and depth of tube placement.
– Patient response to procedure.
Remember:
• When placing a King airway during CPR
minimize interruption of CPR and place
tube while CPR is in progress.
• If spinal injury is known or suspected,
maintain a neutral head alignment and
initiate cervical spine precautions
concurrently with airway management.
Hands-On Practice