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Maxillofacial trauma airway — DipIMC MCQ

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HardPre-Hospital Trauma ManagementMaxillofacial trauma airwayDipIMC

A 34-year-old motorcyclist has severe facial trauma, gurgling respirations and oxygen saturations of 82% despite high-flow oxygen. The critical care team is 20 minutes away and you can maintain oxygenation with suction and jaw thrust. What is the most appropriate transport decision?

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Correct answer: DContinue basic airway manoeuvres and transfer to a major trauma centre while escalating for critical care support

Basic airway manoeuvres, suction, positioning and rapid access to definitive airway skills are appropriate when RSI capability is not immediately available. Unresourced drug-assisted intubation is dangerous and may precipitate loss of airway. Delayed transfer for investigations is inappropriate in the pre-hospital phase. The pearl is that the best airway is the one that can be delivered safely with current skills and equipment.

Reference: NICE Major Trauma NG39; JRCALC Guidelines 2025