Trauama q - darkhorse

[ArchivalUser]

A 35 -year -old Caucasian male is involved in a motorcycle accident, in which he was not wearing a helmet. Upon arrival to the ER he is tachypneic, but is conscious and able to talk with difficulty. He has an obvious head injury and an open fracture of femur. His vitals are, Temperature: 37C(98.6F); PR: 110/min; BP: 100/60mm Hg; RR: 35/min, and noisy. What would be the best way to manage the airway and breathing in this patient?
A. Chin lift with facemask.
B. Needle cricothyroidectomy.
C. Surgical cricothyroidectomy
D. Naso tracheal intubation
E. Orotracheal intubation.

[ArchivalUser]

A Chin lift with facemask.
Pt is stll conscious and talks though with difficulty,If unconscious then I'll go for naso or orotracheal intubation

[ArchivalUser]

dd

[ArchivalUser]

a....

[ArchivalUser]

i think B..b/c maybe he has cervival fracture, not hyperextension done

[ArchivalUser]

darkhorse wats the ans

[ArchivalUser]

ee

[ArchivalUser]

A is the answer..as explained by Lynna

[ArchivalUser]

well frends being an rta chin lift is absolutely contraindicated,now that pt.. is in er i guess that rules out needle cct which would have been a choice on the scene of the accident,so my answer is surgical cricithyroidectomy.and allah knows best

[ArchivalUser]

Looks to me like this patient is about to loose his airwar. I would go straight to orotracheal intubation..