All severely injured patients have hypoxaemia in varying degrees. As soon as medical help arrives the first priority must be to ensure that the patient's airway is free and ventilation is unimpaired. Immediate administration of Indications for securing an airway supplementary oxygen to the unobstructed airway is of paramount with an endotracheal tube importance. Remember that in the first vital...

introduction: blunt neck and laryngeal trauma is rare. since such injuries can be life threatening, their early management remarkably affects the immediate probability of patients’ survival and their long-term quality of life. materials and methods: in this retrospective and descriptive study, medical records of 54 patients with blunt neck and laryngeal trauma, who were referred to imam khomein...

Injury is the fourth leading cause of death in the US, and the leading cause of death in younger age. Trauma is primarily a disease of the young and accounts for more years of productive life lost than any other illness. Consequently, almost every health care provider encounters trauma patients from time to time. Many of these patients are critically ill and pose several challenges in the acute...

OBJECTIVE Laryngeal trauma is an infrequent diagnosis with a scarcity of published data. We aim to further define the factors associated with positive surgical outcomes of adult laryngeal trauma. STUDY DESIGN Multi-institution database analysis. METHODS Of the 1.9 million trauma cases from the National Trauma Database (NTDB), 564 adult trauma events were selected with ICD-9 codes specific t...

Apneusis, or apneustic respirations, is characterized by an abnormal breathing pattern involving gasping and the inability to fully expire. A loss of gag reflex and other cranial nerve deficits are also often accompanied with these respiratory changes. In neurological intensive care units (NICUs), these respiratory and airway changes are not uncommon and have been well documented (Lee et al. 19...

Results The team was activated 1156 times and attended 763 cases. A total of 69 RSIs occurring within the study period were identified as having been carried out by the EAAA team. There were no failed intubations that required a rescue surgical airway or the placement of a supraglottic airway device. For RTCs, the overall on scene time for patients who required an RSI was 40 minutes (range 15-7...