Review Note
Last Update: 09/18/2024 11:33 PM
Current Deck: Pato Qx examen
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Commit #152026
Primary survery
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Commit #152026Airway (and C-spine stabilization) [1]
Identify and treat airway obstruction (e.g., due to blood, direct injury, edema) and/or loss of airway protective reflexes, (e.g., due to AMS or coma), while preventing further C-spine injury.
- Assess the airway.
- Ask the patient to state their name; the ability to answer typically correlates with a patent airway.
- Evaluate for signs of airway compromise and signs of respiratory distress.
- Examine the airway for foreign bodies or injury (e.g., facial fractures, soot, burns).
- Perform initial interventions.
- Suction oropharyngeal secretions and/or blood.
- Perform airway opening maneuvers.
- Insert basic airway adjuncts.
- Intubate patients with: [8]
- Airway obstruction and/or respiratory failure
- Depressed mental status (e.g., GCS ≤ 8) [8][9]
- Severe shock and/or cardiac arrest
- At-risk inhalation injury
- Stabilize the cervical spine.
- Assume cervical spine injury in patients with significant blunt trauma.
- Immobilize the cervical spine with a cervical collar.
- Manually stabilize the cervical spine during airway management.
Perform cricothyrotomy in case of intubation failure.
Consider early intubation for impending airway obstruction in patients with signs of inhalation injury, moderate to severe facial and oropharyngeal burns, and extensive body burns. [8]