Paramedics are treating an unconscious male who is unable to maintain his airway. What should the paramedic do first before inserting an OPA?

Before inserting an oropharyngeal airway (OPA), the primary concern is ensuring that the airway is clear of any obstructions that could impede ventilation. This includes any secretions, blood, or vomitus that may be present in the upper airway. Clearing these substances is crucial because they can block the airway and prevent adequate oxygenation.

If the airway is not cleared before the OPA insertion, the airway device may push these obstructions further back, leading to aspiration or worsening the airway compromise.

While preparing other equipment or positioning the patient may be part of the overall airway management strategy, the immediate priority in this scenario is to ensure that the airway is free of obstructions to allow for successful ventilation. Therefore, clearing the upper airway is the critical first step before proceeding with OPA insertion.