Final answer:
For a trauma patient who is not breathing and cannot have their airway opened through basic maneuvers, endotracheal intubation is the advisable procedure. It is vital to call for emergency medical help if you are not trained in this advanced procedure. Prior to help arriving, assess for choking and attempt the Heimlich maneuver if appropriate.
Step-by-step explanation:
If you are with a 35-year-old trauma victim who is not breathing and you are unable to open the airway using the jaw thrust and suctioning attempts, you should proceed with endotracheal intubation. This procedure involves inserting a tube into the trachea to maintain an open airway and to seal it off from the oropharynx.
Endotracheal intubation allows air to bypass any obstructions and reach the lungs, which is crucial for a patient who cannot breathe on their own. This is typically performed by trained medical professionals and is an emergency procedure in the case of a blocked airway or respiratory failure.
If you are not trained in this procedure, it is critical to call for emergency medical assistance immediately. In the meantime, you should check for signs of choking and a blocked airway, such as an inability to speak or cry out, labored breathing, and a blue tinge to the face. If the patient is choking on a foreign object, and if it is safe to do so, you can attempt to dislodge the object following choking rescue procedures, such as back slaps or the Heimlich maneuver, as a last resort before professional help arrives.