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Maxillofacial trauma with airway threat — RCPSC EM MCQ

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EasyTraumaMaxillofacial trauma with airway threatRCPSC EM

A 34-year-old unrestrained driver has facial trauma after a collision. He is combative with gurgling respirations, oxygen saturation 86% and blood in the mouth. Jaw thrust and suction improve saturation briefly but bleeding continues. What is the most likely diagnosis?

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Correct answer: C — Impending airway failure from maxillofacial trauma

Persistent airway contamination, hypoxaemia and agitation after facial trauma indicate impending airway failure. Senior airway support, suction, preparation for difficult airway and surgical airway backup are required.

Reference: ATLS; Canadian airway management practice