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Unstable C-Spine Intubation — FRCA Final MCQ

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HardAirway ManagementUnstable C-Spine IntubationFRCA Final

A 60-year-old with unstable C5 fracture requires emergency intubation. GCS 14. Safest intubation technique?

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Correct answer: B — Awake FOI with MILS

Unstable C-spine + cooperative patient (GCS 14): awake FOI with MILS = gold standard. Maintains spontaneous ventilation, enables continuous neurological monitoring, minimises C-spine movement. DL produces greatest C-spine extension. VL is alternative if FOI not possible.

Reference: DAS – 2025 – Airway in cervical spine injury; ATLS – 2018