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Maxillofacial trauma airway — DIPIMC MCQ

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HardPre-Hospital TraumaMaxillofacial trauma airwayDIPIMCDipIMC

A 32-year-old has facial trauma after an assault. There is heavy bleeding into the oropharynx, his consciousness is reduced and his breathing is gurgling. He cannot maintain his own airway, and there are fragments of broken teeth in the mouth.

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

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Correct answer: DSuction the airway, position to protect it and prepare for definitive control with surgical airway backup.

A bleeding, obstructed airway from maxillofacial trauma requires immediate suction and positioning, with preparation for definitive airway management and a surgical airway as backup when intubation is likely to be difficult. Lying the patient supine with active bleeding risks aspiration and complete obstruction. Nasal intubation is hazardous in the presence of mid-face injury.

Reference: ATACC Guidelines