Thread by @dastrainees

#JanuAIRWAY Day 26 – The Traumatic Airway. Particularly stressful airways to manage = one part of a wider critically ill patient. Let’s kick off with a #OnePager
#FOAMed #JanuAIRWAY 1/5

The principles of Rx are:
-Beware the isolated environment
-Plan for uncooperative patient
-Prevent aspiration
-Protect C-spine
-Plan for difficult airway
#FOAMed #JanuAIRWAY 2/5

Define type of trauma early – blunt vs penetrating (neck divided into 3 zones), and assess for:
-Distorted anatomy
-Bleeding
-Subcut. Emphysema – injury to gas containing structure
-Other traumatic injury – e.g. head, thorax, abdomen, etc
#FOAMed #JanuAIRWAY 3/5

Here are some papers / links that you might find interesting:
🔗pubs.asahq.org/anesthesiology…
🔗tsaco.bmj.com/content/5/1/e0…
🔗academic.oup.com/bja/article/11…
🔗nice.org.uk/guidance/qs166…
🔗sjtrem.biomedcentral.com/articles/10.11…
🔗bjanaesthesia.org/article/S0007-…
#JanuAIRWAY 4/5

Hope that helps. Tomorrow we’ll look at the Neurosurgical airway (ft. expert contributions from @gasgal13). See you then! #JanuAIRWAY 5/5

*Disclaimer: Inclusion of content (equipment, techniques and scoring systems etc.) in #JanuAIRWAY does not constitute DAS endorsement

Note: a revision to this one pager based on feedback and suggestions can be found together with others at this thread

https://twitter.com/dastrainees/status/1486389891621609472