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*In-line cervical stabilization
*Attempt digital intubation or surgical cricothyrotomy if sufficient cartilaginous rigidity to allow it or surgical tracheotomy if not ; hyperventilate and assess by way of auscultation, ETCO2 levels, Pulse Oximetry, Conjunctival O2 Tension levels.
*Maintain a high index of suspicion and assess for Thoracic ( pneumo/hemopneumothorax/tension)and intracranial injury(sedate/succinylcholine/pancuronium/lidocaine).
*Direct pressure applied to major vessel exsanguination or surgical ligation if possible.
*Large bore IV access X2
*Foley
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