ITLS Airway Management and Ventilation 2

Question 1

A trauma patient with facial fractures and significant oral bleeding is unable to maintain their airway. Oral intubation attempts have failed twice. What is the next appropriate airway intervention?

Accepted Answer

Perform a surgical cricothyrotomy

Answer

Repeat oral intubation attempt

Answer

Insert a nasopharyngeal airway

Answer

Apply continuous suctioning only

Question 2

What is the primary risk of using a nasopharyngeal airway in a patient with suspected basilar skull fracture?

Accepted Answer

Intracranial placement through the cribriform plate

Answer

Aspiration of gastric contents

Answer

Vagal stimulation causing bradycardia

Answer

Laryngospasm

Question 3

When ventilating a trauma patient with a bag-valve-mask, you notice poor chest rise despite a good mask seal. What should you do first?

Accepted Answer

Reposition the airway and reassess

Answer

Increase the squeeze force on the bag

Answer

Switch to a smaller mask

Answer

Perform an emergency tracheostomy

Question 4

What is the recommended oxygen flow rate when using a bag-valve-mask with a reservoir for trauma resuscitation?

Accepted Answer

15 L/min

Answer

6 L/min

Answer

10 L/min

Answer

25 L/min

Question 5

During a rapid trauma assessment, a patient develops gurgling sounds during ventilation. What does this indicate and what action is needed?

Accepted Answer

Fluid in the airway; immediate suctioning

Answer

Bronchospasm; administer a bronchodilator

Answer

Laryngeal edema; prepare for cricothyrotomy

Answer

Normal airway sounds during BVM ventilation

Question 6

Which patient presentation most strongly indicates the need for assisted ventilation rather than supplemental oxygen alone?

Accepted Answer

Respiratory rate of 8 with shallow chest rise and cyanosis

Answer

SpO2 of 93% on room air with normal respiratory effort

Answer

Respiratory rate of 24 with mild accessory muscle use

Answer

Mild dyspnea with clear lung sounds bilaterally

A trauma patient with facial fractures and significant oral bleeding is unable to maintain their airway.Oral intubation attempts have failed twice.What is the next appropriate airway intervention?

A trauma patient with facial fractures and significant oral bleeding is unable to maintain their airway.
Oral intubation attempts have failed twice.
What is the next appropriate airway intervention?