Before positioning a child's airway, what is essential to do first?

Placing the child on a firm surface is essential before positioning their airway because it provides stability and support during the procedure. A firm surface helps ensure that the airway can be opened effectively and retained in the proper position, which is crucial for maintaining ventilation and oxygenation. If a child is on an unstable surface, it could complicate the airway management and increase the risk of injury or ineffective ventilation.

A firm surface also allows emergency responders to effectively use techniques such as the head-tilt/chin-lift or jaw-thrust maneuver. These techniques are critical for achieving optimal airway positioning, especially in pediatric patients, who have different anatomical considerations compared to adults. Ensuring a stable and firm base enhances both the safety and efficacy of the intervention.

In situations where positioning of the airway is necessary, the priority is always to ensure the child is adequately supported to facilitate the best possible airway management outcomes.