After inserting a nasopharyngeal airway, how should the casualty be positioned?

When a nasopharyngeal airway is inserted, positioning the casualty on their side is crucial for several reasons. First, this position helps maintain an open airway, as gravity aids in preventing any potential obstruction that may occur due to blood, vomit, or other secretions that can compromise breathing. By lying on their side, the casualty has a lower risk of aspiration and can help facilitate drainage if present.

Additionally, positioning the casualty on their side can enhance comfort and reduce the risk of pressure injuries, especially in a semiconscious or unconscious patient. It also promotes better ventilation and minimizes the risk of further injury during transportation or if the casualty needs to be moved.

This position is particularly recommended for patients who are not fully conscious but still maintain some protective reflexes, as it permits better airway management while minimizing risks associated with supine positioning.