Emergency Medicine Cases

Ep 199 Trauma Airway and Airway Trauma

51 snips
Nov 12, 2024
Emergency physician Dr. George Kovacs and trauma expert Dr. Andrew Petrosoniak discuss critical insights on trauma airway management. They delve into the timing and indications for intubation in complex cases, like penetrating neck injuries and head trauma. Unique strategies for contaminated airways and the importance of re-sequencing trauma resuscitation protocols are highlighted. The conversation emphasizes teamwork, the significance of proper assessment techniques, and advanced methods for managing agitated or severely head-injured patients.
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ADVICE

Resequencing Trauma Resuscitation

  • Resequence trauma resuscitation based on immediate life threats (ABC, CAB, BAC).
  • Prioritize massive hemorrhage, airway compromise, or obstructive shock.
INSIGHT

Oxygenation and Ventilation Priority

  • Prioritize oxygenation and ventilation over immediate intubation.
  • Crash intubations are rare; focus on physiologic homeostasis, not just the tube.
ANECDOTE

Team Vote for Intubation

  • Andrew Petrosoniak describes using a team vote to decide on intubation for a borderline intoxicated trauma patient.
  • This highlights the multifactorial nature of intubation decisions and the art of medicine.
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