Fractures and Emergency Airway Management

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Questions and Answers

Which demographic is most commonly affected by assault-related fractures?

  • Females of all ages
  • Older adults
  • Children under 12
  • Males and young people (correct)

What is a significant factor contributing to assault-related fractures?

  • Higher rates of accidents in rural areas
  • Greater involvement in situations of violence among specific demographics (correct)
  • Increased physical activity in women
  • Age-related bone density loss

What type of fractures are most affected by aggression or violence?

  • Assault-related fractures (correct)
  • Compression fractures from falls
  • Pathological fractures from disease
  • Stress fractures from overuse

Why do young people experience higher rates of assault-related fractures?

<p>They engage in physical fights or violence more often (A)</p> Signup and view all the answers

Which of the following groups is less likely to experience assault-related fractures?

<p>Young children (B)</p> Signup and view all the answers

Under what condition are nasopharyngeal airways contraindicated?

<p>If there is a possibility of anterior skull base fractures (B)</p> Signup and view all the answers

What might happen if a nasopharyngeal airway is used in a patient with an anterior skull base fracture?

<p>There is a risk of worsening head injuries. (A)</p> Signup and view all the answers

Which airway device should be avoided in patients with potential anterior skull base fractures?

<p>Nasopharyngeal airway (C)</p> Signup and view all the answers

What is an important consideration when assessing a patient's airway management options?

<p>The possibility of anterior skull base fractures (B)</p> Signup and view all the answers

Why are nasopharyngeal airways contraindicated in cases of anterior skull base fractures?

<p>They may penetrate into the cranial cavity. (D)</p> Signup and view all the answers

What is the primary reason for performing an emergency surgical airway?

<p>When the airway cannot be secured by other means (C)</p> Signup and view all the answers

Which procedure is commonly performed to establish a surgical airway?

<p>Cricothyroidotomy (C)</p> Signup and view all the answers

What alternative procedure can be used in addition to cricothyroidotomy to establish a surgical airway?

<p>Tracheostomy (D)</p> Signup and view all the answers

In what situation is cricothyroidotomy preferred over tracheostomy?

<p>When immediate access to the airway is needed (A)</p> Signup and view all the answers

Which statement is true regarding the surgical airway procedures?

<p>Cricothyroidotomy is less invasive than tracheostomy (C)</p> Signup and view all the answers

What is the purpose of using a stay or bridle wire in the management of anterior mandibular fractures?

<p>To stabilize the fracture and reduce bleeding. (D)</p> Signup and view all the answers

When is it advisable to apply a stay or bridle wire around stable teeth in the case of anterior mandibular fractures?

<p>If stable teeth are available on either side of the fracture. (D)</p> Signup and view all the answers

What effect does stabilizing the anterior mandibular fracture have on the mandible?

<p>It supports the mandible during healing. (C)</p> Signup and view all the answers

In managing anterior mandibular fractures, which of the following is NOT a benefit of using a stay or bridle wire?

<p>Facilitated breathing during the procedure. (A)</p> Signup and view all the answers

What condition is necessary for applying a stay or bridle wire effectively?

<p>Availability of stable teeth at the fracture sites. (A)</p> Signup and view all the answers

What method is used to assess the efficiency of breathing and ventilation after securing the airway?

<p>Auscultation and chest radiographs (B)</p> Signup and view all the answers

What is the correct procedure to follow after securing an airway?

<p>Assess respiratory rate and perform auscultation (C)</p> Signup and view all the answers

Which of the following assessments is least relevant after airway management?

<p>Checking the patient's temperature (D)</p> Signup and view all the answers

What is measured to evaluate the function of the respiratory system after managing the airway?

<p>Respiratory rate (C)</p> Signup and view all the answers

What imaging technique is commonly used alongside auscultation to check breathing efficiency?

<p>Chest radiographs (D)</p> Signup and view all the answers

Flashcards

Assault-related fractures

Fractures caused by physical violence or aggression.

Demographic most affected by assault fractures

Males and young people are more commonly affected by assault-related fractures.

Nasopharyngeal airway contraindication

Use is prohibited if anterior skull base fracture is suspected.

Anterior skull base fracture risk with NPA

Using a nasopharyngeal airway may worsen head injuries, especially with skull base fractures.

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Alternative to nasopharyngeal airway

Different airway devices should be used when skull base fractures are suspected.

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Emergency surgical airway

Surgical procedure to establish an airway when standard methods fail.

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Cricothyroidotomy

Surgical airway procedure performed on the neck.

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Tracheostomy

Surgical airway procedure involving an incision into the trachea.

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Cricothyroidotomy vs. Tracheostomy

Cricothyroidotomy is preferable for immediate airway access, tracheostomy is more involved.

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Stay or bridle wire use

Used to stabilize an anterior mandibular fracture, while supporting the mandible during healing.

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Stable teeth availability for wire

Requires stable teeth near the fractured area for wire application.

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Airway assessment method post-intervention

Using auscultation and chest radiographs to monitor the airway.

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Post-airway assessment

Respiratory rate, breath sounds are checked after establishing airway access.

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Least relevant post-airway assessment

Checking the patient's temperature is not the first priority immediately after securing the airway.

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Respiratory function evaluation

The measurement of respiratory rate is used to evaluate the function of the respiratory system.

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Imaging technique for airway check

Chest radiographs help evaluate the efficiency of breathing.

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Study Notes

Fractures and Violence

  • Assault-related fractures are more common in males and young people due to their higher involvement in violent situations.

Nasopharyngeal Airways

  • Nasopharyngeal airways are not recommended if a skull base fracture is suspected.

Mandibular Fractures

  • Temporary stabilization of anterior mandibular fractures can be achieved using wires around stable teeth, reducing bleeding and supporting the mandible.

Emergency Airway

  • When the airway cannot be secured by other means, an emergency surgical airway is necessary.
  • Cricothyroidotomy or tracheostomy are surgical airway procedures.

Breathing and Ventilation

  • Once the airway is secured, breathing and ventilation should be assessed using auscultation and chest radiographs.
  • Respiratory rate should also be determined.

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