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Principles and Techniques of Trauma Care

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AIRWAY<br />

Before attempting intubation the answer to these questions should be YES:<br />

Is there an indication<br />

- Failure to maintain or protect the airway (risk <strong>of</strong> aspiration) or<br />

- Failure to oxygenate or ventilate or<br />

- Impending airway failure (inhalation injury, angioedema)<br />

Do you have working equipment<br />

- Functioning laryngoscope with working light<br />

- Appropriate endotracheal tube size<br />

- Working oxygen source<br />

- Bag-valve mask<br />

- Suction<br />

Do you have a post-intubation plan<br />

- Is a mechanical ventilator available (unless only short-term need)<br />

- Are sedative drugs available<br />

19 |<br />

Emergency <strong>and</strong> Essential Surgical <strong>Care</strong> (EESC) programme<br />

www.who.int/surgery

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