1. MANAGEMENT OF TRAUMA VICTIMS MAN MOHAN HARJAI Associate Professor Army Hospital (Research and Referral) Delhi Cantt 110 010 INDIA

2. MANAGEMENT OF TRAUMA VICTIMS – TASKS AIR WAY CONTROL ADEQUATE VENTILATION WITH MONITORING I.V. ACCESS / BLOOD SAMPLES FLUID/ RESUSUTATION ASSESSMENT

3. Head tilt, chin lift (not in case of spine trauma) Chin lift, jaw thrust (in case of spine trauma) Manual clearance Suction Positioning of patient with jaw support MANUAL METHODS OF AIRWAY CONTROL

4. Oropharyngeal air way Nasopharyngeal air way Resuscitube Combitube Laryngeal mask air way (LMA) Endotracheal intubation Needle cricothyrotomy AIR WAY ADJUNCTS

5. Definitive method of securing air way Ability to deliver high conc. of o 2 Ease of ventilation Prevention of gastric distention and aspiration Tracheal suction and air way clearance Second line route for drug administration ENDOTRACHEAL INTUBATION

6. Cervical spine trauma Children Short neck Prominent upper incisors Receding mandible Limited jaw opening Limited cervical mobility Facial trauma Laryngeal trauma THE POTENTIALLY DIFFICULT INTUBATION

7. Means of providing high conc. of O 2 Protection of air way Ease of ventilation ADVANTAGE Ease of insertion without laryngoscope Better protection of air way compared to OP airway, NP airway LARYNGEAL MASK AIR WAY

8. COMPLICATIONS Accidental displacement Hypoxia Aspiration and vomiting Trauma to soft tissue LARYNGEAL MASK AIR WAY

9. SPECIAL CONSIDERATIONS Maxillofacial injuries Laryngotracheal injuries Cervical spine injuries Thoracic injuries

10. THANK YOU!