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USMLE Step 2 CK Lecture Notes 2019: Surgery
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The first step in the evaluation of trauma is airway assessment and protection
The airway is considered intact if the patient is conscious and speaking in a
normal tone of voice
An airway is considered unprotected and/or compromised if there is an
expanding hematoma or subcutaneous emphysema in the neck, noisy or
“gurgly” breathing, or a Glasgow Coma Scale <8
An airway should be secured before the situation becomes critical. In the field
or in the ED, a definitive airway can be secured by intubation or
cricothyroidotomy. Emergent airway control is best done by rapid sequence
induction and orotracheal intubation, monitoring oxygen saturation with pulse
oximetry. In the presence of a cervical spine injury, orotracheal intubation can
still be done if the head is secured and in-line stabilization is maintained during
the procedure. If severe maxillofacial injuries preclude the use of intubation or
intubation is unsuccessful, cricothyroidotomy may become necessary
In the pediatric patient population (age <8), tracheostomy is preferred over
cricothyroidotomy due to the high risk of airway stenosis, as the cricoid is much
smaller than in the adult
این کتاب در فروشگاه امازون به قیمت 150 دلار با تخفیف فروخته می شود فروشگاه فایل فیل استور این افتخار را دارد تا برای ایرانی های عزیزاین کتاب ها را به قیمت خیلی عالی عرضه کند امیدواریم که فروشگاه فیل استور را همراهی کنید
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