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A patient of RTA (road traffic accident) is unconscious with suspected cervical spine injury. Airway is to be secured using jaw-thrust maneuver. What
Question

A patient of RTA (road traffic accident) is unconscious with suspected cervical spine injury. Airway is to be secured using jaw-thrust maneuver. What is the next best airway management?

A.

Bag–mask ventilation only

B.

Oropharyngeal mask airway insertion or endotracheal intubation

C.

Cricothyroidotomy in all cases

D.

Lateral recovery position until awake

Correct option is B

In trauma with suspected cervical spine injury → jaw-thrust maneuver is used. Definitive airway = ET intubation, and OPA/OPA mask may be used temporarily.
Explanation of options: (a) ✘ Bag–mask alone is inadequate for definitive airway. (b) ✔ Correct; OPA/LMA as bridge, ET intubation definitive airway. (c) ✘ Cricothyroidotomy reserved for failed intubation, not first-line. (d) ✘ Lateral recovery unsafe in suspected cervical trauma.

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