TY - JOUR
T1 - Operational Consideration for Definitive Airway Management in the Austere Setting
T2 - A Case Report
AU - Morvan, Jean Baptiste
AU - Cotte, Jean
AU - des Deserts, Marc Danguy
AU - Worlton, Tamara
AU - Menini, William
AU - Cathelinaud, Olivier
AU - Pasquier, Pierre
N1 - Publisher Copyright:
2022.
PY - 2022/9/19
Y1 - 2022/9/19
N2 - In modern and asymmetric conflicts, traumatic airway obstruction caused by penetrating injury to the face and neck anatomy is the second leading cause of preventable mortality. Definitive airway management in the emergency setting is most commonly accomplished by endotracheal intubation. When this fails or is not possible, a surgical airway, usually cricothyrotomy, is indicated. The clinical choice for establishing a definitive airway in the austere setting is impacted by operational factors such as a mass casualty incident or availability and type of casualty evacuation. This is a case report of a patient with severe cervicofacial injuries with imminent airway compromise in the setting of a mass casualty incident, without possibility of sedation and mechanical ventilation during his evacuation. The authors seek to highlight the considerations and lessons learned for emergency cricothyrotomy.
AB - In modern and asymmetric conflicts, traumatic airway obstruction caused by penetrating injury to the face and neck anatomy is the second leading cause of preventable mortality. Definitive airway management in the emergency setting is most commonly accomplished by endotracheal intubation. When this fails or is not possible, a surgical airway, usually cricothyrotomy, is indicated. The clinical choice for establishing a definitive airway in the austere setting is impacted by operational factors such as a mass casualty incident or availability and type of casualty evacuation. This is a case report of a patient with severe cervicofacial injuries with imminent airway compromise in the setting of a mass casualty incident, without possibility of sedation and mechanical ventilation during his evacuation. The authors seek to highlight the considerations and lessons learned for emergency cricothyrotomy.
KW - Tactical Combat Casualty Care
KW - airway
KW - cricothyrotomy
KW - mass casualties
KW - medical evacuation
UR - http://www.scopus.com/inward/record.url?scp=85138460386&partnerID=8YFLogxK
U2 - 10.55460/WNNO-WIUG
DO - 10.55460/WNNO-WIUG
M3 - Article
C2 - 35862841
AN - SCOPUS:85138460386
SN - 1553-9768
VL - 22
SP - 90
EP - 93
JO - Journal of special operations medicine : a peer reviewed journal for SOF medical professionals
JF - Journal of special operations medicine : a peer reviewed journal for SOF medical professionals
IS - 3
ER -