What is the initial step in a failed airway algorithm?

The initial step in a failed airway algorithm is to secure the airway. This is crucial as the primary objective in managing a failed airway situation is to ensure that the patient maintains oxygenation and ventilation. Securing the airway may involve employing alternative methods such as bag-mask ventilation, supraglottic airway devices, or even emergency surgical airway management if necessary. This step focuses on rapidly and effectively establishing an airway to prevent hypoxia and other complications that can arise from inadequate ventilation.

Other steps, such as laryngoscopy, administering sedation, or calling for help, may be important in the overall management of an airway emergency, but they do not take precedence as the first action. Securing the airway directly addresses the immediate need to restore ventilation, making it the cornerstone of the initial response in a failed airway scenario.