While ventilating an unresponsive patient with a bag-mask device, what should you do if you hear gurgling in the upper airway?

When you hear gurgling in the upper airway while ventilating an unresponsive patient with a bag-mask device, repositioning the patient onto his side is the most appropriate action. Gurgling typically indicates the presence of fluid, which can obstruct the airway and greatly complicate effective ventilation. By placing the patient on their side, any fluids, such as vomit or secretions, can drain out, thus reducing the risk of aspiration and allowing for better airway management.

This maneuver also aids in clearing the airway and facilitates better access should further interventions be required, such as suctioning. Maintaining an open and clear airway is critical in emergencies, especially when managing unresponsive patients who cannot protect their own airway.