NREMT Paramedic Cognitive ExamAirway, Respiration & VentilationEasy
A 28-year-old male is found unconscious in a supine position after a motor vehicle collision. He has snoring respirations and an SpO2 of 88% on room air. There is no evidence of facial trauma. Which of the following is the most appropriate initial airway maneuver?
- AHead-tilt, chin-lift maneuver
- BJaw-thrust maneuver
- CNasopharyngeal airway insertion
- DOropharyngeal airway insertion
Show answer & explanationAnswer & explanation
Correct answer: B. Jaw-thrust maneuver
Given the mechanism of injury (motor vehicle collision) and unconsciousness, there is a potential for cervical spine injury. The jaw-thrust maneuver is the preferred initial airway opening technique in such cases as it minimizes cervical spine movement.
Why the other options are wrong
- A. The head-tilt, chin-lift maneuver can hyperextend the neck, potentially worsening a cervical spine injury.
- C. Nasopharyngeal airways are adjuncts used after manual maneuvers, and their insertion requires an open airway.
- D. Oropharyngeal airways are adjuncts used after manual maneuvers, and their insertion requires an open airway and no gag reflex.
Jaw-Thrust Maneuver
A technique used to open the airway in patients with suspected cervical spine injury by displacing the mandible anteriorly without extending the neck.
- Used for unconscious patients with suspected C-spine injury.
- Minimizes neck movement.
- Opens the airway by lifting the jaw.
Memory trick: Jaw-Thrust: When you 'jaw-thrust' a patient, you're 'thrusting' them towards safety from spinal injury.