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RSI in severe head injury — RCPSC EM MCQ

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HardResuscitation, procedures, airwayRSI in severe head injuryRCPSC EM

CTAS 1. A 27-year-old after MVC has GCS 6, unequal pupils, vomiting, and facial abrasions. BP is 148/86, SpO2 94% on non-rebreather, and CT is not yet performed. C-spine precautions are maintained. What is the most appropriate initial management?

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Correct answer: C — Rapid-sequence intubation with cervical spine protection

Severe traumatic brain injury with inability to protect the airway requires RSI while minimizing hypoxia, hypotension, and cervical spine movement.

Reference: Canadian Airway Focus Group recommendations; ATLS Student Course Manual