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Nix4Pres Nix4Pres
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8 years ago
Your patient is a 26-year-old male who suffered a shotgun wound to the neck and face. Your assessment reveals obstruction of the upper airway due to extensive soft-tissue damage and fractures of the mandible, maxilla, and hard palate. The patient has a bubbling open wound to anterior neck about 1 cm inferior to the cricoid cartilage, opening the trachea to the environment. Which of the following describes the best way to manage this patient's airway?
A) Control bleeding from the wound, and apply an occlusive dressing over it. Perform a needle cricothyrotomy and use transtracheal jet insufflation to ventilate.
B) Control bleeding around the neck wound and apply an occlusive dressing over it. Insert a nonvisualized dual-lumen airway (e.g., CombiTube) for ventilation.
C) Control bleeding around the neck wound, using suction if necessary to prevent aspiration. Assess whether it is possible to introduce an endotracheal tube into the trachea through the wound.
D) Control bleeding around the neck wound, apply an occlusive dressing over it, and attempt nasotracheal intubation.
Textbook 
Essentials of Paramedic Care Update

Essentials of Paramedic Care Update


Edition: 2nd
Authors:
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feijoafeijoa
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8 years ago
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Nix4Pres Author
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8 years ago
Wow!
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8 years ago
I'll do my best to answer the others now, see you around
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