All of us want to do what's in a patient's best interest. Control / maintenance of airway and c-spine precautions in the high risk patient ae not mutually exclusive but sort of go hand-in-hand. Certainly can be extremely challenging but we give it our best shot. Attached is a link to a helpful...
You always have to assume the worse until proven otherwise. If you don't take measures to protect the c-spine in a trauma patient, even when attempting to obtain an airway, you run the risk of having a breathing patient who is now a paraplegic. Attorneys would be gnawing at the bit for that...
Wow! That's a tough case, especially since you also have to assume a c-spine injury in play as well. Can't use a hard c-collar if you also have to do a cricothyrotomy. Somehow you have to still stabilize the head during the whole process. Sometimes you are faced with a no-win situation but you...
Just be sure you know the landmarks to locate the cricothyroid membrane. In males usually easy because of the prominence of the thyroid cartilage. In most cases, however, you can palpate the location.
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