List Archives

Wed, 30 Apr 2003 11:33:36 -0500

Our First Responders are given maxillofacial trauma as THE contraindication
to NPA.

Dave Hartley
EMT

----- Original Message -----
From: "Erik Glassman" <glassman@bu.edu>
To: <trauma-list@trauma.org>
Sent: Wednesday, April 30, 2003 11:07 AM
Subject: Re: Nasopharyngeal Airways

> I remember a case remember in J Trauma about 18 months ago clearly
> demonstrating what can happen if an NPA is placed in a patient with a
skull
> fracture.  I know longer subscribe to J Trauma, so does anyone else have
the
> exact reference?
>
> Erik
>
> ----- Original Message -----
> From: <skip@c-d-m.com>
> To: <trauma-list@trauma.org>
> Sent: Wednesday, April 30, 2003 11:34 AM
> Subject: Nasopharyngeal Airways
>
>
> I am teaching First Responders and a question has come up about the use of
> nasopharyngeal airways with maxillofacial trauma. The PHTLS textbook (5th
> Ed) is silent on the use of this device in the presence of facial injuries
> (ie if this is a relative contraindication), and a quick review of the
> literature on PubMed does not show any case reports or studies of glaring
> problems with NPA with respect to cranial penetration, etc.
>
> Does anyone have any comments on the NPA in the situation of maxillofacial
> trauma with possible skull fracture (keeping in mind that First Responders
> will not have the ability to intubate)?
>
> Thanks,
>
> Skip Tinnell, RN MSPH
>
>
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