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Prehospital tracheal intubation in severe facial trauma: a short window of opportunity
  1. Bredmose P P,
  2. Rock S,
  3. Lockey D J
  1. Department of Prehospital Care, London Helicopter Emergency Medical Service, The Royal London Hospital, London, UK
  1. Correspondence to Lockey D J, London Helicopter Emergency Medical Service, Department of Pre-hospital Care, The Royal London Hospital, London E1 1BB, UK;djlockey{at}


A case of severe facial injury is described. The pre-hospital management including pre-hospital anaesthesia and intubation and the importance of advanced anaesthetic skills in rare trauma cases is discussed. In addition the rare situation where large bone fragments are retrieved from the scene and potentially used in reconstruction is mentioned.

  • Ethics
  • emergency ambulance systems
  • mass gathering medicine
  • major incidents

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Commissioned; internally peer reviewed.

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