Trauma Resuscitation (ATLS)Board Review Questions of the Week
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Trauma Resuscitation Case:
A 56-year-old man is brought in by emergency medical services following extrication from his vehicle after a motor vehicle collision in which he was the unbelted driver.
He was placed on a backboard with a cervical collar at the scene. In the ambulance, he was breathing spontaneously and had oxygen saturations in the low 90's with the use of a mask.
On arrival, he has significant lacerations about his face, and his jaw is clearly fractured. He is unconscious, responding only to painful stimuli, and his breathing consists of irregular, ineffective gasps.
He is mildly cyanotic and his oxygen saturation is 74% and falling despite bag-valve mask ventilation.
Two initial attempts at orotracheal intubation via video-assisted laryngoscopy, one with a bougie device, are unsuccessful.
Which of the following is the most appropriate next step in this trauma resuscitation scenario?
Immediately place a multilumen esophageal airway.
Immediately place a nasal trumpet airway.
Perform immediate nasotracheal intubation.
Perform immediate cricothyroidotomy.
See the answer...
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