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Trauma RSI Uncleared C-Spine — FRCA Final MCQ

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ModerateTrauma & Emergency AnaesthesiaTrauma RSI Uncleared C-SpineFRCA Final

Polytrauma GCS 7, uncleared C-spine. Best RSI technique?

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Correct answer: B — Rocuronium 1.2 mg/kg with VL and MILS

GCS 7 + uncleared C-spine: RSI with rocuronium 1.2 mg/kg (sugammadex available) + VL + MILS. VL produces less C-spine movement than DL. At GCS 7 awake techniques not feasible. Ketamine/etomidate preferred induction agents.

Reference: DAS – 2025 – RSI; ATLS – 2018