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The jaw-thrust maneuver is a first aid and medical procedure used to prevent the tongue from obstructing the upper airways. This maneuver and the head-tilt/chin-lift maneuver are two of the main tools of basic airway management, and they are often used in conjunction with other basic airway techniques including bag-valve-mask ventilation. The ...
The jaw-thrust maneuver is an effective airway technique, particularly in the patient in whom cervical spine injury is a concern. It is easiest when the patient is positioned supine. The practitioner places their index and middle fingers behind the angle of the mandible to physically push the posterior aspects of the mandible upwards while ...
The mandible should be positioned upwards by lifting the lower jaw and pushing the mandible upward. These steps are known as head tilt, chin lift, and jaw thrust, respectively. [15] If a neck or spinal injury is suspected, the provider should avoid performing this maneuver as further nervous system damage may occur. [15]
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The maneuver works by allowing free-floating particles, displaced otoconia, from the affected semicircular canal to be relocated by using gravity, back into the utricle, where they can no longer stimulate the cupula, therefore relieving the patient of bothersome vertigo. [2] [3] The maneuver was developed by the physician John M. Epley, and was ...
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Vertigo typically indicates a problem in a part of the vestibular system. [2] Other causes of dizziness include presyncope, disequilibrium, and non-specific dizziness. [2] Benign paroxysmal positional vertigo is more likely in someone who gets repeated episodes of vertigo with movement and is otherwise normal between these episodes. [9]
The roll maneuver or its variations are used, and involve rolling the person 360 degrees in a series of steps to reposition the particles. [1] [41] This maneuver is generally performed by a trained clinician who begins seated at the head of the examination table with the person supine. There are four stages, each a minute apart, and at the ...