Your Patient Is a 45-Year-Old Man with Extensive Blunt Trauma

question 1

Multiple Choice

Your patient is a 45-year-old man with extensive blunt trauma to the face. He has decorticate posturing in response to pain; weak, irregular respiratory effort at 6 per minute; and a heart rate of 50 with a good radial pulse. The patient appears to have nasal and mandibular fractures, and an oropharyngeal airway is insufficient to keep the tongue from the posterior pharynx. Which of the following has the most potential to negatively impact the patient?

• A) Retrograde intubation
• B) Oral intubation under direct laryngoscopy
• C) Nasotracheal intubation
• D) A non-visualized dual-lumen airway

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Definitions:

Ectoparasitic Infection

An infection or infestation caused by parasites that live on the outer surface of the host's body, such as fleas, lice, or ticks.

Pediculosis Pubis

An infestation of the pubic hair and skin with pubic lice, leading to itching and redness.

Protozoan Infection

An infection caused by protozoa, which are single-celled microscopic organisms.

Trichomoniasis

Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis, presenting symptoms such as itching, burning, and discharge in women, but often asymptomatic in men.