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Exam NREMT topic 3 question 26 discussion

Actual exam question from Test Prep's NREMT
Question #: 26
Topic #: 3
[All NREMT Questions]

You have responded for a 43-year-old male who was involved in an altercation. The patient was reportedly beaten about the face and head with a baseball bat.
The patient is unresponsive. Evaluation of the patient's face reveals instability from the orbits to the mandible. Based on this information, how would you definitively manage this patient's airway?

  • A. Immediately assist ventilations with a Bag-Valve-Mask.
  • B. Orally intubate the patient and assist ventilations with a Bag-Valve-Mask.
  • C. Insert an oral airway and assist ventilations with a Bag-Valve-Mask.
  • D. Insert a nasal airway and assist ventilations with a Bag-Valve-Mask.
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Suggested Answer: B 🗳️
This patient has an unstable face and an unstable airway. Ultimately, this patient needs to have his airway protected as quickly as possible with an endotracheal tube. With facial instability, it is imperative that an adjunct be placed to ensure that the airway is not occluded by the pressure on the jaw created with the application of the Bag-Valve-Mask.
by [deleted] at March 10, 2025, 7:47 a.m.

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