What is the appropriate action when moving a patient with a tracheostomy tube to an ambulance?

When moving a patient with a tracheostomy tube to an ambulance, it is essential to ensure that the patient continues to receive adequate ventilation, especially if they are dependent on a ventilator for breathing support. Using a connected bag-valve mask while disconnected from the ventilator allows for manual ventilation of the patient and provides immediate respiratory support. This method is particularly crucial during transport, as it can help prevent hypoxia and maintain oxygenation until the patient can be connected back to a ventilator in the ambulance.

The choice to utilize a bag-valve mask is based on the need for continuous monitoring and assistance with ventilation, which is vital in any situation where a patient has a compromised airway. This approach allows the caregiver to ensure that adequate tidal volume and respiratory rates are maintained during the transition to the ambulance.

Using the home ventilator exclusively during transport might not be practical or safe due to potential issues with disconnection or malfunction. Relying solely on supplemental oxygen without any form of ventilation does not address the patient's need for adequate breaths, particularly if they are unable to ventilate independently. Administering medications before transport can be important for other reasons, however, this action does not address the immediate need for effective respiratory support while transporting a patient with a