TY  - CHAP
M1  - Book, Section
TI  - Chapter 17. Airway Management of a Motorcyclist with a Full-Face Helmet Following a Crash
A1  - Vu, Mark P.
A1  - Hung, Orlando R.
A2  - Hung, Orlando
A2  - Murphy, Michael F.
PY  - 2012
T2  - Management of the Difficult and Failed Airway, 2e
AB  - A  29-year-old  male  motorcyclist  presents  to  the  emergency  department  (ED)  after  being  involved  in  a  high-speed  motor  vehicle  crash  (MVC).  The  motorcyclist  was  traveling  at  approximately  65  km·h−1  (40  miles  per  hour)  when  he  drove  through  an  intersection  and  collided  with  a  car.  Although  damage  to  the  car  was  minimal,  the  motorcycle  was  severely  damaged  and  the  patient  was  found  approximately  50  m  (160  ft)  from  the  point  of  impact.  The  patient's  vital  signs  at  the  scene  were:  HR  110  beats  per  minute  (bpm),  BP  120/70  mm  Hg,  RR  24  breaths  per  minute,  and  SpO2  93%  on  room  air.  Paramedics  placed  the  patient  on  a  spine  board  and  transferred  him  to  the  ED.  In  the  ED,  he  complains  of  pain  in  his  chest,  difficulty  breathing,  and  pain  in  his  legs.  He  is  wearing  a  nonmodular  full-face  helmet.  His  vital  signs  are  found  to  be  HR  120  bpm,  BP  110/50  mm  Hg,  RR  32  breaths  per  minute,  SpO2  89%,  and  he  is  becoming  confused.  There  is  clinical  evidence  of  a  compound  fracture  of  his  right  femur.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=55869190
ER  -