Episode 79.0 – The Traumatized Airway - a podcast by Core EM

This week we discuss facial trauma and the disasters it can cause to your airway management.







https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_79_0_Final_Cut.m4a







Download





2 Comments











Tags: Airway, Cricothyroidotomy, RSI, Trauma











Show Notes

Take Home Points



In a patient with significant head and neck trauma, EACH step of the airway management can be more difficulty. BVM may be hard, LMA may be hard, RSI may be hard, so don’t be afraid to ask for help early.

Decide whether the patient has an actual obstruction of their airway. If they are obstructed above the larynx, don’t bother with your usual airway maneuvers, go directly to the surgical airway.

When you do attempt RSI, have double suction and multiple airway techniques set up. This is the time to have your friend standing at your side, scalpel in hand and ready to move directly down the difficult airway algorithm if trouble arises.

Finally, consider keeping the patient awake and preserving their own respiratory drive as it may give you more time to secure the airway.



Read more

LITFL: Facial Trauma

LITFL: Airway in Maxillofacial Trauma

EMCrit: Real Surgical Airway





Read More

Further episodes of Core EM - Emergency Medicine Podcast

Further podcasts by Core EM

Website of Core EM