Date Published

June 9, 2025

Updated For

ALS PCS Version 5.2

#SWORBHPTips

What is hypoxia?​

  • When the body is deprived of oxygen at the tissue level​

What are some examples of causes?:​

  • Impaired ventilation (Opioid overdose)​
  • Obstructed ventilation (Anaphylaxis)​
  • Medical conditions (Asthma, COPD, Pneumonia)​
  • Cellular-Level Hypoxia (Carbon Monoxide Poisoning)

What to know about it:​

  • When tissues don’t receive adequate oxygen over prolonged periods, this can result in organ failure and lead to cardiac arrest ​
  • Management focuses on airway patency, oxygenation, ventilation, and perfusion ​

Pre-Hospital Treatment of Hypoxia:

Airway Patency​

Oxygenation​

Ventilation​

Perfusion​

BLS Maneuvers ​

O2 application​

Bag Valve Mask​

High quality CPR​

OPA​

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PEEP valve​

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NPA​

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SGA​

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ETT (ACPs)​

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Suction​

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When Should You Leave Early?​

  • Hypoxia can be treated effectively in the pre-hospital setting! In most cases, you should treat as appropriate on scene. ​
  • Leave early when:​
    • The airway cannot be secured (e.g. FBAO, severe facial swelling or burns, etc.)​
    • You are unable to adequately manage the airway and ventilation on scene

In Summary​

  • Hypoxia can lead to death due to inadequate oxygenation of tissues in the body​
  • For the most part, hypoxia can often be effectively treated and managed in the pre-hospital setting​
  • Consider very early transport when airway management is ineffective or unable to be established

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