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WHEREWHATWHEN

WHERE is the injury?

WHERE IS THE INJURY?

CRICOID IS KEY

WHAT was the

mechanism?

BLUNT

Symptoms ≠ Severity

Avoid cricothyroidotomy

PENETRATING

KE = ½ mv2

WHENdo I secure the airway?

NOW

NOWNOW

TRACHE TRACHE

TRACHE TRACHE

ABOVE CRICOID BELOW CRICOID

BLUNT

PENETRATING

SOON

Secure the airway in least traumatic fashion

Prepare for tracheostomyUse smallest tube possibleAvoid CricothyroidotomyAvoid muscle relaxants

Avoid BM ventilationPrepare for tracheostomy

WHEREWHATWHEN

ABOVE CRICOID BELOW CRICOID

BLUNT

PENETRATING

Risk of trachea descending in to

mediastinum

WHERE

ABOVE CRICOID BELOW CRICOID

BLUNT

PENETRATING

Symptoms ≠ severityAvoid cricothyroidotomy

High velocity can be devastatingIntubate through wound?

WHAT

WHEN

SoonNow

QUESTIONS?