Surgery - ben

[ArchivalUser]

A 45-year-old male unrestrained driver is brought to the ED with cervical spine precautions by an EMT unit after a high-speed MVA. He has a Glasgow Coma Scale (GCS) score of 6 and no obvious signs of trauma. His shallow respirations are being inadequately assisted with a bag-valve mask. Radial pulse is thready, and the extremities are cool. Which of the following should be performed before rapid sequence intubation (RSI)?

(A) A brief neurologic examination including a check of rectal tone
(B) An immediate chin lift to clear the airway from any obstruction
© A full set of vital signs
(D) A lateral cervical spine x-ray
(E) Four quick tidal volume breaths with 100 percent oxygen using a bag-valve mask device

[ArchivalUser]

b

[ArchivalUser]

seems bbbbbbb

[ArchivalUser]

i think B too

[ArchivalUser]

yes ans is B

[ArchivalUser]

should be eeeee..i think chin lift is contraindicated if u r suspecting C-spine injury

[ArchivalUser]

EE?????

[ArchivalUser]

i think you can do chin lift if yo have cervical spine precaution in place, and this is already placed by EMS team, so there should be no prob in chin lift, my opinion.

[ArchivalUser]

i am not sure abt that if there is cervical injury you can mess up the spine

[ArchivalUser]

well the question is if there is obstruction would E be useful in this case???