During an emergency oral intubation, if the light on a laryngoscope blade is not functioning, what should be the first action taken by the respiratory therapist?

• A. Replace the handle
• B. Replace the batteries
• C. Attempt to tighten the bulb
• D. Use a small flashlight with another's assistance

Answer: (C)

The most appropriate first action to take when the light on a laryngoscope blade is not functioning is to attempt to tighten the bulb. When the light is dim or not illuminating at all, it is often due to a loose connection at the bulb. By tightening the bulb, there's a chance that the light may function properly again without the need for further replacements or assistance. This method is quick and can potentially resolve the issue immediately, which is crucial in an emergency intubation scenario where time is of the essence.

Addressing other options provides additional context: replacing the handle or the batteries may not be necessary if the issue is simply a loose bulb connection. These actions also take more time, which can be detrimental during an emergency. Using a small flashlight with assistance might help, but it is not ideal as it can complicate the intubation process and distract from the primary goal of securing the airway quickly and effectively. Thus, attempting to tighten the bulb is the most immediate and effective first step in this situation.