PREHOSPITAL CARE
Critically injured patients, inaccessible airways, and laryngeal mask airways
1 University Hospital Birmingham NHS Trust, Selly Oak Hospital, Birmingham, UK
2 Division of Medical Sciences, University of Birmingham, Birmingham, UK
Correspondence to:
Correspondence to:
Dr Jonathan Hulme
38 Earls Court Road, Birmingham B17 9AH, UK; jonhulme{at}doctors.org.uk
Managing the airway of a critically injured trauma patient in the prehospital environment is challenging, especially when access to the patient’s airway is limited as is often the case in vehicle entrapment incidents. This paper reports the use of the laryngeal mask airway as an adjunct to airway management when attempts using simple airway management techniques have failed to provide adequate oxygenation and ventilation and limited access to the patient precluded endotracheal intubation.
Abbreviations: ETT, endotracheal tube; LMA, laryngeal mask airway; RSI, rapid sequence induction
Keywords: endotracheal intubation; entrapment; laryngeal mask airway; prehospital emergency care; trauma
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