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Entrapped patient with airway compromise — DipIMC MCQ

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EasyTraumaEntrapped patient with airway compromiseDipIMC

A 68-year-old is trapped in a rolled-over car. He is semiconscious with gurgling respirations, vomit in the mouth and slow shallow breathing. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BPerform airway suction and basic airway manoeuvres while maintaining manual stabilisation

Perform airway suction and basic airway manoeuvres while maintaining manual stabilisation is the best answer because airway obstruction with hypoventilation is immediately life-threatening even during entrapment. Wait for imaging before intervening is less appropriate because imaging is not available or appropriate before treating a clinical life threat; Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats. Delay intervention until arrival at hospital and Transport without treating the identified time-critical problem are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: JRCALC Guidelines; ATACC Manual; Resuscitation Council UK Guidelines