A 78-year-old woman presented to the ED in a coma. Her Glasgow Coma Scale score is 4. She extends her right arm to a painful stimulus. Her left pupil is a little larger than her right. Her respiratory rate is 12 and clinically there is partial airway obstruction.
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You elect to relieve her airway obstruction with an oropharyngeal airway.
Your F2 asks “Why not a nasopharyngeal airway?”
Give three reasons.
Your management plan includes a CT scan.
What options do you have regarding airway protection during this procedure?
What are the pros and cons of those options?
You elect to scan her on her side.
On return to the resuscitation room she starts to vomit thick undigested food.
How do you respond?