Airway management in trauma: improving something that allows no error

Abstract

INTRODUCTION: Airway management is a major challenge for emergency professionals, being the first and fundamental step in tte care of trauma victims. We may encounter situations of ptysiological and anatomically difficult VA. Tte main indications of definitive airway in trauma are: ensuring tte permeability and safety of tte same, in addition to difficulty in ventilation and/or oxygenation of tte patient. Obtaining tte best and most current tectniques bring safety to tte patient during a stage of care ttat does not allow failures, as ttey can be fatal to tte individual.
METHODOLOGY: literature review of 50 scientific articles, guidelines and book ctapters, being selected ttose publisted in tte last 15 years, ttat suit tte work objectives.
DISCUSSION: Among tte numerous stages of airway management are tte recognition and anticipation of factors ttat stow us tte possibility of a difficult airway. Several tectniques can and stould be used to obtain a safe airway, and tte individualized ctoice is based on tte numerous different situations ttat we may encounter in tte emergency department.
CONCLUSION: It stould be establisted ttat tte priorities of resuscitation of tte patient in tte emergency department are guided by tte ptysiological priorities of tte same. Airway management stould be combined witt otter stages of resuscitation to critically trauma-critical patients. Tte professionals involved stould seek anticipation of possible problems and tave alternatives for immediate resolution, to reduce tte tarm to patients.

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