A 30-year-old male is found face-down in a muddy field after being thrown from a quad bike. He has a GCS of 5 and is making gurgling respiratory effor...

Question

A 30-year-old male is found face-down in a muddy field after being thrown from a quad bike. He has a GCS of 5 and is making gurgling respiratory efforts. His airway is full of mud and debris. After suctioning the oropharynx, you cannot clear the obstruction. What is the next step?

Accepted Answer

Perform a jaw thrust with simultaneous manual in-line stabilisation and use a rigid Yankauer suction catheter to clear deep debris; if obstruction persists, insert a supraglottic airway or proceed to RSI

Answer

Turn the patient prone to allow gravity drainage

Answer

Administer nebulised saline to loosen the debris

Answer

Perform an immediate tracheostomy

Answer

Continue BVM ventilation through the obstruction

uk-dipimc MCQ (SBA): Contaminated Airway

A 30-year-old male is found face-down in a muddy field after being thrown from a quad bike. He has a GCS of 5 and is making gurgling respiratory efforts. His airway is full of mud and debris. After suctioning the oropharynx, you cannot clear the obstruction. What is the next step?