Airway management in polytrauma scenario is highly challenging and requiring special challenges. This presentation covers basic, advanced skills, airway assessment in trauma scenario, special challenges, and management pearls.
airway management in trauma patients can be particularly challenging because of the presence of difficult airway and disrupted anatomy.
Anatomical implications, airway assessment in trauma, airway management, helpful airway devices were all mentioned in this presentation.
indication foe intubation ,routes of intubation , the role of nurse in intubation ,indication of mechanical ventilation ,ventilators ,ventalotory modes and its advantages and disadvantages , complication of mechanical ventilation , nursing Management for patients on ventilator ,suction technique and weaning process
airway management in trauma patients can be particularly challenging because of the presence of difficult airway and disrupted anatomy.
Anatomical implications, airway assessment in trauma, airway management, helpful airway devices were all mentioned in this presentation.
indication foe intubation ,routes of intubation , the role of nurse in intubation ,indication of mechanical ventilation ,ventilators ,ventalotory modes and its advantages and disadvantages , complication of mechanical ventilation , nursing Management for patients on ventilator ,suction technique and weaning process
The Medicine in Remote Areas (MIRA) Manual is a comprehensive guide designed for medical professionals, emergency responders, and individuals operating in isolated and challenging environments. This manual provides essential knowledge and practical skills necessary for delivering effective medical care where traditional medical resources and immediate evacuation are not readily available.
Expertly crafted, the MIRA Manual covers a wide range of topics, including emergency response planning, trauma management, illness diagnosis, and long-term care in remote settings. Readers will find detailed sections on environmental medicine, addressing challenges such as extreme weather conditions, and wilderness first aid techniques. The manual also delves into specific medical conditions and injuries that are likely to be encountered in remote areas, offering step-by-step procedures for treatment and stabilization.
Ideal for expedition medics, military personnel, remote site workers, and adventure enthusiasts, the MIRA Manual is an invaluable resource for anyone responsible for providing medical care in off-grid locations. It combines theoretical knowledge with practical approaches, ensuring that readers are well-equipped to handle a variety of medical situations in remote settings.
Anatomical difficult airway has been emphasised immensely in poly trauma management . But we very often forgot to look into the correctable physiological airway difficulties ...this presentation is exploring this aspect of airway management .
This session was done in Nepal emergency medicine conference in October 2023 at Kathmandu
This session was done in 2 nd EMS and Industrial Emergency Medicine conference in Ahammadabad in Feb 2020. The presentation explores how to asses the Key Performance in EMS and Ambulance Scenario.
Airway manipulations and intubation are the potential to cause a high level of aerosolization in the emergency department. This presentation is giving an overview of how to perform protected intubation in the emergency department. It has prepared by using the available latest data on COVID 19 protected Intubation
Evidence-based medicine is the cornerstone of quality clinical practice. It is very important that a critical appraisal of a scientific article. This presentation covers a primary survey & Secondary survey approach to select, read and appraise the article
The presentation covers various aspects of DM like the type of disasters, scientific approach, disaster cycle, zones, Incident command, triage, Hospital plan, communication, statutory structure, and support organizations
Prehospital care in trauma is as important as in hospital care. The presentation addresses simple and basic approach to care a polytrauma victim in platinum 10 minutes based on BTLS.
The presentation covers basics of pharmacotherapy involves in advanced life support scenario including peri-arrest situations which have been updated 2019
The presentation covers an easy method to manage acute poisoning in Ed. It elaborates the tox presentations through four toxidromes and an algorithmic approach to solve the puzzle
The presentation covers definitions, identification, Treatment goals, Special situations, Practice points, and cardinal pharmacotherapy. Session presented in NBE learning session
This presentation covers various aspects of OHCA scenarios, including incidence, outcome, challenges, solutions, hen to initiate CPR, protocols, Termination, ECPR, and other issues are covering in details. Explore regional experiences in training and OHCA results as well.
This presentation covers various aspects of OHCA scenarios, including incidence, outcome, challenges, solutions, hen to initiate CPR, protocols, Termination, ECPR, and other issues are covering in details. Explore regional experiences in training and OHCA results as well.
It is an updated presentation(2019) which covers the basic concept of mechanical ventilation, Modes, Settings, Troubleshoots, Complications, New modes, and Preventive care. The presentation will be useful for emergency doctors
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
2. Background
Prevention of hypoxemia requires a protected, unobstructed airway
and adequate ventilation, which take priority over management of all
other conditions.
3. This session...
1. Define definitive airway.
2. Recognize the signs and symptoms of airway
obstruction and ventilatory compromise.
3. Describe the techniques for establishing and
maintaining a patent airway.
4. Describe techniques for confirming the adequacy of
ventilation and oxygenation
5. Explore the management pearls in specifice trauma
scenarios
4. What are the Priorities in Polytrauma?
1. Airway and C-Spine
protection
2. Breathing and Ventilation
3. Circulation and Hemorrhage
control
4. Disability
5. Exposure and prevention of
hypothermia
A
B
C
D
E
5. Case scenario
● 34-year-old motorcyclist lost
control and crashed into a fence
● Obvious facial trauma
● No helmet
● Smells of alcohol
● Belligerent at scene; now not
communicating
● Pulse oximeter 85% Airway
management
7. How do I know the airway is adequate?
• Patient is alert and oriented.
• Patient is talking normally.
• There is no evidence of injury to
the head or neck.
• You have assessed and
re-assessed for deterioration
Airway
Assessment
8. Signs and symptoms of airway
compromise
• High index of suspicion
• Change in voice / sore throat
• Noisy breathing (snoring and
stridor)
• Dyspnea and agitation
Airway
Assessment
10. Remember ….
● Agitated patient
● Rule out Hypoxia
● Obtunded patient
● Rule out Hypercarbia
Airway
management
11. When to intervene in a patient with a
patent airway?
1. Airway problem - Impending airway
compromise
2. Breathing problem-Need for ventilation
3. Circulatory Problem-Intractable shock
4. Disability problem-Inability to protect the
airway, Low GCS
5. Expected course : Transfer to Radiology , Transfer to
another Institution
Airway Assessment
A
B
C
D
E
12. Dynamic Airway - Anticipatory Intubation
● Bullet
● Burn
● Bites
3 B’s in
Head &
Neck
Airway
management
13. How do I manage the airway of a trauma
patient?
• Supplemental
oxygen
• Basic techniques
• Basic adjuncts Airway
management
14. When to intervene in a patient with a
patent airway?
Definitive airway
• Cuffed tube in the trachea
Airway
Management
15. When to intervene in a patient with a
patent airway?
Difficult airway adjuncts
• Unexpected difficult
airway
• Predicted difficult
airway Airway
management
23. OPA - Use correct size
● Patients who can tolerate an
oral airway will usually need
intubation
● Buying time in emergency
room
● Too large and Too small
cause airway obstruction
Airway Management
25. Nasopharyngeal
Airway
● Use correct size
● Better tolerated
● Use most patent nose
● Avoid in midfacial
injuries
● Avoid in fracture base
of skull
Airway
Management
28. How do I predict a potentially difficult
airway?
Airway
Management
29. Assess the difficulty at 4 level
Airway
Management
1. Difficulty for Bag Mask
ventilation
2. Difficulty for Intubation
3. Difficulty for Supraglottic
/Extraglottic airway
Insertion
4. Difficulty for Surgical Airway
31. Difficult airway
BMV
Trauma Related
difficulty
Approach
Limited Jaw thrust Mandibular fracture Early use of SGA
Poor seal Facial injuries with swelling
, Disruption
Early use of SGA
Blood and Vomitus Facial injuries, Full
stomach
Delayed gastric emptying
2 suction/ SALAD
approach
FONA
Penetrating or Blunt trauma
neck
Distorting subcutaneous
emphysema,Disrupted
airway
Passive oxygen
delivery/minimize Positive
pressure ventilation
33. SALAD : Suction Assisted Laryngoscopy
Airway Decontamination
● Use rigid large-bore suction to
initially decontaminate
● Perform laryngoscopy keeping
blade superior against tongue
away from fluid
● Advance suction tip into upper
esophagus then wedge in place to
left of the laryngoscope
34. SALAD : Suction Assisted Laryngoscopy
Airway Decontamination
● Use second suction as needed
● Rotate laryngoscope blade 30
degrees to the left to open blade
channel
● Place endotracheal tube (ETT),
inflate the cuff
43. Difficult airway Trauma Related
Difficulty
Approach
Penetrating or Blunt
trauma neck
Distorted/disrupted
airway CTM not
accessible or injury at or
below CTM
Low tracheotomy
Airway Management
FONA
45. What is meant by a Definitive Airway?
A definitive airway is a tube placed in
the trachea with the cuff inflated below
the vocal cords, the tube connected to
some form of oxygen-enriched
assisted ventilation, and the airway
secured in place with tape
Airway Management
55. Definitive Airway - Difficult ?
Video Laryngoscopy is a
choice
● Difficult airway
● Unstable C-spine injury
● Blood in oral cavity ???
Airway Management
56. Video Laryngoscopes : Types
Macintosh video laryngoscope
-standard geometry blade
● C-MAC (Mac Blade; Karl Storz, Tuttlingen,
Germany)
● McGrath Mac (Mac blade; Medtronic,
Minneapolis, MN)
● GlideScope Titanium Mac (GlideScope,
Verathon, WA),
● Venner APA (Mac blade; Venner Medical,
Singapore, Republic of Singapore).
57. Video Laryngoscopes: Types
Hyperangulated VL (also known
as indirect VL)
● C-MAC (D-Blade)
● McGrath Mac (X blade) standard
GlideScope
● King Vision (non channeled blade Ambu,
Ballerup, Denmark)
Data from Kovacs G, Law JA. Lights camera action: redirecting videolaryngoscopy. EMCrit. 2016. Available at:
https://emcrit.org/blogpost/redirecting-videolaryngoscopy/. Accessed February 25, 2017
58. Video Laryngoscopes: Types
Channeled blade VL
● King Vision
● Pentax AWS (Pentax, Tokyo, Japan)
● Airtraq (Teleflex Medical, Wayne, PA) for
example, King Vision, Pentax AWS
(Pentax, Tokyo, Japan)
Data from Kovacs G, Law JA. Lights camera action: redirecting videolaryngoscopy. EMCrit. 2016. Available
at: https://emcrit.org/blogpost/redirecting-videolaryngoscopy/. Accessed February 25, 2017
71. Pulse-Ox lag
“By the time peripheral oxygen
saturation begins to fall, cerebral
hypoxemia has already occurred, a
phenomenon known as “pulse-ox
lag”
76. Patients with TBI
● Hypoxemia and Hypotension during airway
management significantly worsens outcomes
in patients with TBI
● Airway management for airway protection
should proceed only after adequate measures
have been taken to prevent intubation
related physiologic disturbances.
77. Patients with TBI
● Postintubation hypocapnia is associated with
poor outcomes in patients with TBI and often
the result of adrenaline induced overzealous
postintubation ventilation
● Postinjury apnea requiring ventilation
support does not necessarily predict poor
outcome.
78. ❏ What are points to be taken care in airway
management in patient with Traumatic brain
injury?
● Avoid Hypoxia
● Avoid Hypotension
● Avoid airway Obstruction
● Pre Oxygenation
● Pre Treatment :
Lignocaine/Opioid/Defasciculating
agents
● Pre load : Fluid
Pre-Intubation
79. ❏ What are points to be taken care in airway
management in patient with Traumatic brain
injury?
DURING
INTUBATION
● Appropriate selection of Drugs
● Use brain friendly agents
● Adequate reflex obtundation
● Do gentle laryngoscopy
● Use adjuncts appropriately
● Expert help as needed
● Avoid hyperventilation
80. ❏ What are points to be taken care in airway
management in patient with Traumatic brain
injury?
1. Avoid coughing ,bucking and Gagging
2. Avoid Tube bitting and Blockage
3. Avoid High PEEP
4. Avoid High PIP
5. Avoid Hyperventilation
6. Avoid Hypoventilation
7. Adequate sedation
8. Adequate paralysis
9. Avoid Jugular obstruction (C-Collar, ETT
tieng tap)
10. Always check DOPE
Post Intubation
Ten As
82. Patient with Unstable C spine injuries
● Imaging should not delay airway
management and assume all trauma
patients have unstable cervical spines.
● Optimally use the intubation device he
or she is most experienced with.
● Be prepared for a poor view with direct
laryngoscopy (DL) and always have a
bougie ready for use.
83. Patient with Unstable C spine injuries
● Rigid cervical collars must be
opened or removed and replaced by
properly applied manual inline
stabilization (MILS).
● Properly applied MILS should avoid
immobilization of the mandible.
84. Patient with Unstable C spine injuries
● Use a hyperangulated
video laryngoscope, a
deliberate restricted glottic
view may facilitate difficult
ETT advancement
86. Patient with contaminated Airway
● Have at least 2 large-bore rigid suction catheters.
● Consider alternative options for hemorrhage control
(sutures, packing, epistaxis kit).
● Minimize positive-pressure ventilation (PPV) and
use a mono meter for provider feedback when mask
ventilation is indicated.
● Look for epiglottis as an important landmark for
glottis and have a bougie prepared for use with DL
87. Patient with contaminated Airway
● VL is considered the best option, Macintosh VL may be
the preferred device, as it may be used directly if
contamination obstructs camera
● Consider esophageal ETT diversion connected to
suction
● Suction-assisted laryngoscopy airway decontamination
(SALAD) approach
● If intubation fails and patient is desaturating, front of
neck airway (FONA) rescue oxygenation approach is
indicated
89. ● Agitation may be a symptom of traumatic pathology
● Agitated patients may require facilitated cooperation to
ensure adequate preoxygenation
● Ketamine is an appropriate agent to facilitate cooperation
in agitated patients in preparation for airway management
● Always be prepared to provide definitive airway
intervention before administering sedation.
Agitated Trauma patients
91. Patients with Faciomaxillary Trauma
● Do careful assessment of damaged
anatomy recognizing the unique airway
complications associated with facial
fractures.
● Both laryngoscopy and mask
ventilation may be challenging
● Double set-up should be prepared for
when rapid sequence intubation (RSI) is
the chosen approach
92. Patients with Faciomaxillary Trauma
● An awake approach, although not
always practical, should be considered.
● Management of aggressive bleeding
should be anticipated.
● Allow patients to assume a position
of comfort when safe to do so.
95. Patients with Primary Airway injury : Laryngo
tracheal trauma
● Decompensation in the patient with a
traumatized airway may be rapid and
catastrophic.
● PPV should be avoided if possible.
● An awake approach with appropriate
topicalization is the preferred approach.
● If an RSI is chosen, a double set-up with a
FONA plan for accessing the trachea based
on the level of the airway breach.
96. Patients with Primary Airway injury : Laryngo
tracheal trauma
● ETT placement should ideally be
performed with visualization of the airway
using a flexible intubating endoscope
(FIE).
● Advanced techniques using FIE either
primarily in an awake patient or assisted
by VL when an RSI is chosen are
recommended when resources and skill
are available.
99. Peri Intubation hemodynamic instability
● Resuscitation using blood products (packed red
blood cells/massive transfusion) should be done
early in the pre-intubation phase of trauma
management
● Selected scenarios consider the use of
vasopressors during the peri-intubation phase.
● Reduce the dose of all induction agents by at
least 50% and increase the dose of the
paralytic agents
101. PreOxygenation : “The Rule of Two”
● Elevate the Head (ear to sternum) and the Bed
greater than 20 (reverse Trendelenburg).
● Two sources of oxygen for all critically ill patients
1. High-flow nasal prongs !15 L/min
2. NRB/bag-mask ventilation !15 L/min.
● Two approaches for obstruction: OPA with a Jaw
thrust for soft tissue obstruction
102. PreOxygenation : “The Rule of Two”
● Two attachments for your BVM: positive
end-expiratory pressure valve and pressure
manometer
● Two hands on all face masks: to ensure closed
system oxygenation and ventilation and perform
an aggressive jaw thrust
● Two providers: a tight mask seal and
aggressive jaw thrust giving feedback to the
provider squeezing the bag
● Avoid over ventilation and hyperventilation
104. Pre Intubation
checklist
One
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Team Ready ?
❏ EP Aware / Experienced airway
staff present
❏ Do we need additional help?
❏ Assign roles: Lead /
MILS/BVM/Drugs/ETI
Trauma -Airway
Management
105. Pre Intubation
checklist
Two
Trauma -Airway
Management
Patient Ready ?
❏ Monitor(Pulse OX,ECG,BP,EtCO2)
❏ Reverse Trendelenburg 30 degree
❏ Ramp if obese
Dual pre Oxygenation
❏ Nasal Cannula@15+LPM AND
❏ NRBM@15 flush LPM or If Sats
less than 96%
❏ BVM/PEEP 5-10 cm(Passive)
❏ NIV
Fluid bolus
Pressor support ( Consider if SI more
than .8)
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
106. Pre Intubation
checklist
Three
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Equipment ready?
❏ BVM with PEEP/Pressure
manometer
❏ DL/Mac VL, Stylet 30-40 degree +
Bougie
❏ HA-VL ETT stylet 60-70 degree
❏ Suction (1-2)
❏ SGA sized
❏ Bougie cric equip available
❏ Ventilator/RT support
Trauma -Airway
Management
107. Intubation checklist One
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Airway assessment & Plan
❏ Estimated Level of Difficulty
Laryngoscopy/BMV/SA/Surgical
(Circle ) Low,Moderate,High,Very
High
❏ Consider Dangerous Physiology
Low BP/Low Sat/Low pH,RV Strain
❏ RSI vs Awake approach,
❏ Medications
-RSI Induction/NMBA doses
-Awake, Ligno 4% or 10% spray
-Ketamine
-Post intubation Sedation
Trauma -Airway
Management
108. Intubation checklist Two
Plan A-B- C- D
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
❏ Plan A - Primary - DL,Mac
VL+ Bougie pr HA -VL
❏ Plan B - ReOx/w ETI
OPA/2 Hand BVM
❏ Plan C Alternative ETI
approach
❏ Plan D - Rescue Ox
SGA/ bougie cric
Trauma -Airway
Management
109. Intubation checklist Three
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Intubation
❏ Time out - ‘’All ready?” “Give
drugs”
❏ Post RSI meds 45 sec
countdown
❏ Passive BVM+Vent prn
❏ Prob solve ETT advancement
-ETT turn left over bougie
-Stylet with VL ETT turn right
❏ EtCO2(Waveform)
Trauma -Airway Management
110. Post Intubation
checklist
One
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Post Intubation
❏ Continuous Waveform
Capnography
❏ Cycle pressures q3min
❏ Sedation/Analgesia orders
❏ Consider ongoing NMBA
❏ OG Tube placement prn
❏ CXR
❏ Restraints Prn
❏ Review ventilator settings
Trauma -Airway Management
111. Post Intubation
checklist
Two
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Debrief
1) What went
well?------------------------------------------
------------------------
2) What could be strengthened and
How?-----------------------------------------
----------------------------
Trauma -Airway Management
112. Post Intubation
checklist
Three
Emerg Med Clin N Am 36 (2018) 61–84
https://doi.org/10.1016/j.emc.2017.08.006 emed.theclinics.com 0733-8627/18/a 2017 The Authors. Published by
Elsevier Inc. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
Difficulty Rating (Post intubation)-
(Circle)Low, Moderate , *High , *Very
High
*For “High and Very High” Difficulty
Ratings
❏ Directly communicate to CC staff
❏ Document on chart
What made the Airway
difficult?----------------------------------
------------------------------------------
Trauma -Airway Management