Managing high fluid airway situations

Collected tweets on managing persistent flooding of the airway with fluids (blood or gastric fluids)

[Will add more details when time (under construction) and collect further thoughts and wisdom here as time goes by 2016-01-23 Yen.]

Epistaxis and tonsillar bleeding are variations on this

Tonsillar bleeding

https://storify.com/TBayEDguy/difficult-airways-massive-post-tonsillectomy-bleed

Maxillofacial hemorrhage

From SydneyHEMS (item 3.2.2.4)

https://nswhems.files.wordpress.com/2015/12/heli-cli-19-traumatic-haemorrhage-control.pdf

“In patients with severe facial fractures haemorrhage control can be challenging. Following intubation, nasal epistats, bilateral dental bite blocks and well fitting cervical collar should be applied to splint the midface structures (Ref 4).”

Facial exsanguination splinted

4. Harris T et al. The emergency control of traumatic maxillofacial haemorrhage. European Journal of Emergency Medicine 2010; 17: 230-33

 

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One thought on “Managing high fluid airway situations

  1. Pingback: Managing high fluid airway situations | Prehospital and Retrieval Medicine - THE PHARM dedicated to the memory of Dr John Hinds

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