Apply oxygen to the face and stoma while assessing breathing, oxygen saturation, airflow, and the stoma.
在評估呼吸、血氧飽和度、氣流與造口的同時，將氧氣給予臉部與造口。
If trained and oxygenation permits, gently insert the same-size spare tracheostomy tube with its obturator through the mature stoma, then remove the obturator.
若受過訓練且氧合狀況允許，將同尺寸的備用氣切管連同管芯輕柔地通過成熟造口插入，然後移除管芯。
If the same-size tube meets resistance, stop rather than force it and attempt the one-size-smaller spare tube while expert help continues airway support.
若同尺寸氣切管遇到阻力，應停止而非強行插入，並在專家協助持續提供呼吸道支持的同時，嘗試小一號的備用氣切管。
Confirm ventilation with airflow or capnography, breath sounds, chest movement, and improving oxygen saturation, then secure the tube.
以氣流或二氧化碳波形圖、呼吸音、胸部起伏及改善的血氧飽和度確認通氣，然後固定氣切管。
Stay with the client, call expert airway or emergency help, and bring the bedside tracheostomy emergency equipment.
留在個案身邊，呼叫呼吸道專家或急症協助，並帶來床邊氣切急症設備。