6d • Paramedic Talk
Trauma case
A 40-year-old man was shot in the face with a shotgun. He is conscious, sitting upright in a chair. There is massive soft-tissue damage to his face; his mandible is gone and his upper airway structures are exposed. His oxygen saturation is 95% and his respiratory rate is 22 breaths/min. What should you do?
Sedate, paralyze, and perform endotracheal intubation
Keep him sitting up, suction his airway, and transport
Perform an immediate surgical cricothyrotomy
Lie him down and ventilate with a bag-mask device
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Trauma case
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