TY - CHAP M1 - Book, Section TI - Airway Management of an Unconscious Patient Who Is Trapped Inside the Vehicle Following a Motor Vehicle Collision A1 - Vlatten, Arnim A1 - Helm, Matthias A2 - Hung, Orlando R. A2 - Murphy, Michael F. PY - 2017 T2 - Hung's Difficult and Failed Airway Management, 3e AB - You are the emergency physician on duty for aeromedical transport calls. You are called to the scene of a motor vehicle collision in a remote area. Seventeen minutes into the flight, you hear from the on-scene paramedics that a young man hit a tree and flipped his car. He is the only occupant and is still trapped in the car. The rescuers have difficulty in extricating him from the vehicle. On landing, you see firefighters preparing to use a heavy-extrication tool (“Jaws of Life”). As you exit the helicopter, the ground paramedic informs you that the accident scene is secure and that the patient is a 25-year-old obese man, unconscious, with stable vital signs. As you approach the vehicle, you note major front-end damage to the car, encroaching on the vehicle's interior, the airbag deployed, and the patient apparently unresponsive behind the steering column. The A- and B-column on the driver's side of the car appeared to have struck the left side of the patient's head, and both lower extremities are trapped under the dashboard. Vital signs are stable and he is unresponsive to pain. He is breathing spontaneously with high-flow oxygen delivered via a non-rebreather face mask with a cervical spine collar applied and two large bore intra-venous cannulas placed in the antecubital fossae. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1146617228 ER -