Question

An unrestrained driver involved in a high speed MVA is transported by paramedics with c-spine precautions. GCS score is 7, but there is no obvious trauma. Respirations are shallow, and BVM is not providing adequate ventilation. Extremities are cool, and the pulses are thready. Prior to rapid sequence intubation, what should be done?

1) Brief neurologic examination
2) Immediate chin lift and jaw thrust maneuver
3) Assess all vital signs
4) Administer 4-5 quick tidal volume breaths with an FIO2 of 100

Answer 1

Prior to rapid sequence intubation, the first step should be to assess all vital signs. After that, a brief neurological examination should be performed. Finally, the provider can proceed with intubation if necessary.

Step-by-step explanation:

Prior to rapid sequence intubation, the first step should be to assess all vital signs. This includes checking the patient's heart rate, blood pressure, respiratory rate, and oxygen saturation.

After assessing the vital signs, the next step would be to perform a brief neurological examination. This involves evaluating the patient's level of consciousness, pupillary response, and motor function.

Once the vital signs and neurological examination have been done, the healthcare provider can proceed with the rapid sequence intubation, which may involve administering 4-5 quick tidal volume breaths with an FIO2 of 100.