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Which of the following options is the immediate first step in the management of this patient?
High-flow O2 has been applied to both the patient’s mouth and nose. An attempt at passing a suction catheter was unsuccessful.
The cuff of the tracheostomy tube has been deflated, however the patient has now stopped breathing and has no pulse.
Alongside commencing cardiopulmonary resuscitation (CPR), what is the next step in managing this patient’s airway?
A patient presents with bleeding from their tracheostomy. The tracheostomy was inserted 3 weeks ago. A small amount (<10mls) of bright red blood was noted by the patient to be coming from the tracheostomy. It now appears to have resolved spontaneously. The patient is taking apixaban for atrial fibrillation.
What is the most appropriate next step in management?