MSSP451: TACTICAL INDICATIONS OF PRIMARY CRICOTHYROTOMY IN COMPLEX AUSTERE SETTING: A CASE REPORT
Jean-Baptiste Morvan1; Jean Cotte1; Marc Danguy Des Deserts2; William Menini1; Olivier Cathelinaud1; Pierre Pasquier3; 1Sainte Anne Mlilitary Training Hospital; 2Clermont Tonnerre Military Traing Hospital; 3Percy Military Training Hospital
In modern and asymmetric conflicts, traumatic airway obstruction caused by penetrating injury to the face and neck anatomy was the second leading cause of preventable mortality. In particular in case of mass casualties and according to downstream evacuation type, tactical context conditions the choice of the definitive airway technique. Definitive airway management in the emergency setting is most commonly accomplished by endotracheal intubation. When this one fail or is not possible, a surgical airway, usually cricothyrotomy, is indicated.
We report the case of a complex tactical indication of a primary cricothyrotomy in a severe cervicofacial injury with indication to definitive airway management, without possibility of sedation and mechanical ventilation during his evacuation.