TY - CHAP M1 - Book, Section TI - Airway Management in the Emergency Department A1 - Sakles, John C. A1 - Murphy, Michael F. A2 - Hung, Orlando R. A2 - Murphy, Michael F. PY - 2017 T2 - Hung's Difficult and Failed Airway Management, 3e AB - A 21-year-old man is brought to the emergency department (ED) after sustaining a close range shot gun blast to the face and neck. He appears intoxicated and has an altered mental status. He intermittently becomes very agitated and combative. He is unable to give a coherent history. His vital signs are as follows: BP 160/10, HR 120, RR 26, temperature 37.8°C. Room air oxygen saturation is 97%. There are numerous pellet wounds to the left side of the face and neck with tissue loss and active bleeding. There is a small hematoma on the left side of the neck and subcutaneous air can be palpated in the region. The larynx can be palpated and appears to be slightly off the midline. When he speaks, his words appeared slurred. It is difficult to ascertain whether his voice is hoarse, but there is no overt stridor. The lungs are clear bilaterally with equal breath sounds. The patient is in need of immediate airway control. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/10 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1146617442 ER -