Airway Management (with C-Spine)

Question 1

When may we suspect a C-spine injury? (7)

Answer 1

• Unconscious from head injury/unknown cause
• Rapid acceleration/decelration event (RTC, sports injury)
• Multiple blunt force injuries
• Conscious and complaining of neck pain/loss of function
• Blast injuries
• Penetrating neck wounds
• Fall from height

Question 2

What are signs of an obstructed airway? (5)

Answer 2

• Cyanosis
• Choking
• Agitation
• Altered level of consciousness
• Noisy breathing

Question 3

List three types of adjuncts (3)

Answer 3

Oropharyngeal airway (OPA)
Nasopharyngeal airway (NPA)
Supraglottic airway device (i-Gel)

Question 4

What is the most common size of OPA used in adults? (1)

Answer 4

Size 3 (4 for very large, 2 for very small)

Question 5

What are the contraindications for OPAs? (3)

Answer 5

• Trismus
• Conscious casualty
• Severe facial trauma

Question 6

What are some considerations when using OPAs?

Answer 6

• May induce vomiting
• If too short, no tongue support
• If too large, may block airway

Question 7

What is the most common size of NPA used in adults? (1)

Answer 7

6 for female and 7 for males

Question 8

What are some contraindications for NPAs? (3)

Answer 8

• Severe nasal trauma
• Baseline fracture of the skull (with caution)
• Nasal polyps