Airway management in self-inflicted gunshot wounds to the face
Background: This study characterizes the prehospital and trauma bay airway management of self-inflicted gunshot wounds (SI-GSWs) to the face. Methods: We reviewed SI-GSWs to the face from 2017 to 2021. Patients with isolated temporal GSWs were excluded. Emergency Medical Services (EMS) and trauma ba...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-09-01
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| Series: | Surgery in Practice and Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262022000602 |
| _version_ | 1817986536047640576 |
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| author | Mary Froehlich Allison G. McNickle Douglas R. Fraser |
| author_facet | Mary Froehlich Allison G. McNickle Douglas R. Fraser |
| author_sort | Mary Froehlich |
| collection | DOAJ |
| description | Background: This study characterizes the prehospital and trauma bay airway management of self-inflicted gunshot wounds (SI-GSWs) to the face. Methods: We reviewed SI-GSWs to the face from 2017 to 2021. Patients with isolated temporal GSWs were excluded. Emergency Medical Services (EMS) and trauma bay information on airway management were collected. Results: 38 patients presented with a SI-GSW to the face. 20 of the 29 transported by EMS were managed without advanced airways. There were four endotracheal intubations, three supraglottic airways, and two failed intubations. Those with advanced airways had lower GCS (3 vs. 15, p<0.01) and systolic blood pressure (94 vs. 144, p<0.01). After hospital arrival, 22 SI-GSWs were endotracheally intubated in the trauma bay and two in the OR. No cricothyroidotomies were performed. Conclusions: A majority of SI-GSWs to the face can be managed by EMS using noninvasive support. Supraglottic airways may be an option for those requiring invasive support. |
| first_indexed | 2024-04-14T00:10:30Z |
| format | Article |
| id | doaj.art-5a6b5c723c484883bb6c39d6feccf5b2 |
| institution | Directory Open Access Journal |
| issn | 2666-2620 |
| language | English |
| last_indexed | 2024-04-14T00:10:30Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery in Practice and Science |
| spelling | doaj.art-5a6b5c723c484883bb6c39d6feccf5b22022-12-22T02:23:21ZengElsevierSurgery in Practice and Science2666-26202022-09-0110100118Airway management in self-inflicted gunshot wounds to the faceMary Froehlich0Allison G. McNickle1Douglas R. Fraser2Department of Surgery, Kirk Kerkorian School of Medicine at UNLV, 1701 W. Charleston Blvd., Suite 490, Las Vegas, NV 89102, United StatesCorresponding author.; Department of Surgery, Kirk Kerkorian School of Medicine at UNLV, 1701 W. Charleston Blvd., Suite 490, Las Vegas, NV 89102, United StatesDepartment of Surgery, Kirk Kerkorian School of Medicine at UNLV, 1701 W. Charleston Blvd., Suite 490, Las Vegas, NV 89102, United StatesBackground: This study characterizes the prehospital and trauma bay airway management of self-inflicted gunshot wounds (SI-GSWs) to the face. Methods: We reviewed SI-GSWs to the face from 2017 to 2021. Patients with isolated temporal GSWs were excluded. Emergency Medical Services (EMS) and trauma bay information on airway management were collected. Results: 38 patients presented with a SI-GSW to the face. 20 of the 29 transported by EMS were managed without advanced airways. There were four endotracheal intubations, three supraglottic airways, and two failed intubations. Those with advanced airways had lower GCS (3 vs. 15, p<0.01) and systolic blood pressure (94 vs. 144, p<0.01). After hospital arrival, 22 SI-GSWs were endotracheally intubated in the trauma bay and two in the OR. No cricothyroidotomies were performed. Conclusions: A majority of SI-GSWs to the face can be managed by EMS using noninvasive support. Supraglottic airways may be an option for those requiring invasive support.http://www.sciencedirect.com/science/article/pii/S2666262022000602Self-inflictedGunshot woundsFacial fracturesAirway managementTracheostomy |
| spellingShingle | Mary Froehlich Allison G. McNickle Douglas R. Fraser Airway management in self-inflicted gunshot wounds to the face Surgery in Practice and Science Self-inflicted Gunshot wounds Facial fractures Airway management Tracheostomy |
| title | Airway management in self-inflicted gunshot wounds to the face |
| title_full | Airway management in self-inflicted gunshot wounds to the face |
| title_fullStr | Airway management in self-inflicted gunshot wounds to the face |
| title_full_unstemmed | Airway management in self-inflicted gunshot wounds to the face |
| title_short | Airway management in self-inflicted gunshot wounds to the face |
| title_sort | airway management in self inflicted gunshot wounds to the face |
| topic | Self-inflicted Gunshot wounds Facial fractures Airway management Tracheostomy |
| url | http://www.sciencedirect.com/science/article/pii/S2666262022000602 |
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