A trauma patient may need to be intubated if certain clinical conditions are present.


Indications for endotracheal intubation:

(1) head injury with Glasgow Coma Score (GCS) <= 8

(2) shock

(3) airway obstruction

(4) apnea in a pediatric patient

(5) combative patient requiring sedation

(6) prior to general anesthesia

(7) chest trauma with hypoventilation

(8) hypoxia after initial resuscitation

(9) cardiac arrest


Intubation of a patient with possible cervical injury can be performed by manually stabilizing the head and neck with the patient on a long spine board. It is important to protect the airway from aspiration of gastric contents.


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