Description

Okada e al reported the eFONA score to identify a trauma patient who may require an emergency front-of-neck procedure. The authors are from Kyoto University and the Japanese Red Cross Society Kyoto Daini Hospital in Japan.


Patient: adult trauma patient

 

Outcome: front-of-neck airway (tracheostomy, other)

 

Component

 

e

no eye opening in response to any stimuli

F

fall from height or motor bike

O

oral-maxillofacial injury

N

neck/tracheal injury

A

airway management by paramedics

 

 

Response

Points

no

0

yes

1

 

score =

= SUM(points for all 5 parameters)

 

Interpretation:

minimum score: 0

maximum score: 5

A cut-off of 2 identifies a patient who may require the front-of-neck airway.

 

Performance:

The area under the ROC curve is 0.82.


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