03-31-2005, 10:57
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#1
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Asset
Join Date: Feb 2004
Location: Dallas TX
Posts: 16
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Airway access and trauma patient .
Since the board has been discussing airway management I would like to start a thread on airway management of patients who have suffered injuries above the neck. (Particularly blast and ballistic injuries that are encountered on the battlefield)
Any case reports both personal and anecdotal I would be grateful to hear about.
My own experience in airway management has been working EMS in Atlanta GA., and in the OR and ER. I have had little initial airway management experience of maxillofacial traumatized patients. So if you have experience in this area please jump in and share your case reports.
Thanks Roger
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rogerabn is offline
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03-31-2005, 12:45
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#2
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Quiet Professional
Join Date: Jan 2004
Location: Tampa
Posts: 2,531
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If suction won't let you see-look for the bloody bubbles in the back of throat during exhalation...
Eagle
__________________
Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.
Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
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Eagle5US is offline
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03-31-2005, 13:05
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#3
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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lets change it up alittle...here is a pic of a blast injury to the face....how would YOU handle it beginning with finding him to time of definitive care.
be specific and detailed on your 'field' mangement
__________________
'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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swatsurgeon is offline
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03-31-2005, 13:56
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#4
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Quiet Professional
Join Date: Jun 2004
Location: Occupied Pineland
Posts: 4,701
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Swatsurgeon - Not to interject too much but I've seen this case several times on the internet. All the pictures previously appeared to be in the ER and this one looks like he survived to be admitted. Does anybody know the real story (the most plausible one I heard involved crimping a blasting cap with his teeth) and what the final outcome was? And just to pay my dues - a crichothyroidectomy, IV. O2, try to clamp any major bleeders, kerlex for contamination prevention, and evacuate ASAP. Maybe try to block the back of the throat to control fluid entering upper airway though I'm not sure about gag reflex. Looks like the hospital did a trach so I might be on the right track. 18D is the one MOS I never got around to. Inquiring minds, etc, etc. Peregrino
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Peregrino is offline
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03-31-2005, 14:03
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#5
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Area Commander
Join Date: Aug 2004
Location: Texas
Posts: 1,355
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Quote:
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Originally Posted by Peregrino
Does anybody know the real story (the most plausible one I heard involved crimping a blasting cap with his teeth) and what the final outcome was?
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Suicide attempt with shotgun? [going back to corner now]
__________________
"Whatsoever thy hand findeth to do, do it with thy might; for there is no work, nor device, nor knowledge, nor wisdom, in the grave whither Thou goest." - Ecclesiastes 9:10
"If simple folk are free from care and fear, simple they will be, and we must be secret to keep them so." - JRRT
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jatx is offline
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03-31-2005, 14:22
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#6
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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glad to hear my patient made the internet...wonder how that happened...illegal to say the least I did not block out his eyes/etc on this site for obvious reasons.
Any recall of the sites where you saw this. I don't think (?) I've used it on any other sites????
Anyway he did make it to a hospital...but if this occured in the field (it did) and you saw him what would you do....
ignore the ED backround, think of it as the 1st medical facility in theater....2 docs, a few RNs and PA's etc.
this was an explosion (M-80) at the mouth.
__________________
'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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swatsurgeon is offline
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