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threewalkers
Forum Junior Topics: 250 Posts: 871 |
kaplan p72 first paragraph trauma patient, unconscious, efforts to secure a nasotracheal airway were unsuccessful. What is the next step?
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rkmehta
| Forum Newbie  Topics: 13 Posts: 270
cricothyrostomy?
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mortadha salah
| Forum Newbie Topics: 5 Posts: 12
orotracheal tube if fail do cricothyroidotomy
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mortadha salah
| Forum Newbie Topics: 5 Posts: 12
orotracheal tube if fail do cricothyrostomy
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threewalkers
| Forum Junior Topics: 250 Posts: 871
To summarize: nasotracheal>orothacheal>cricothyroidotomy>treach eotomy Thanks, everybody.
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KMG
| Forum Junior  Topics: 9 Posts: 40
Isn't it: (orothacheal>nasotracheal>cricothyroidotomy>treach eotomy)?
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threewalkers
| Forum Junior Topics: 250 Posts: 871
KMG wrote: nasotracheal>orothacheal>cricothyroidotomy>treach eotomy Isn't it: (orothacheal>nasotracheal>cricothyroidotomy>treach eotomy)? KMG, I think you are right.
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Shahra
| Forum Newbie Topics: 0 Posts: 3
no, nasotracheal>orothacheal>cricothyroidotomy>treach eotomy is right.
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pepsy3
| Forum Newbie  Topics: 2 Posts: 62
In the ER, preferred method of securing the airway is -- Orotracheal intubation. In the field, often by paramedics - nasotracheal intubation. however, for the OP question, it states nasotracheal has failed.. so orotracheal intubation is the way to go. its not a good idea of learn it in order of succession as each are best (hence best answer) for different scenarios and learning those would help more.
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threewalkers
| Forum Junior Topics: 250 Posts: 871
thanks, pepsy. What if the trauma involves the face?
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pepsy3
| Forum Newbie Topics: 2 Posts: 62
In order to do "nasotracheal intubation" the pt. need to be breathing spontaneously. In apenic patient, it is CONTRAINDICATED. extensive facial injuries, gurgling sounds - cricothyroidomy (surgical) cervical spine injury - flexible bronchoscopy. This takes time so look at how much the pt. is in respiratory distress. If apneic or really severe distress.. orotracheal intubation can be still done with manual cervical stabilization. neck injury - subcutaneous emphysema - flexible bronchosopy
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 Similar forum topicspatient unconscious after trauma unconcious trauma patient headache trauma.. advice? | Related resources Practical Guide to the Care of the Medical Patient TRAUMA.ORG |
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