Airway management in self-inflicted gunshot wounds to the face

•Self-inflicted GSWs to the face may compromise a patient's airway and mental status.•Patients that can protect their airway may be managed with non-invasive support.•Supraglottic airways may be an alternative to endotracheal intubation in select cases. This study characterizes the prehospital...

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Bibliographic Details
Published in:Surgery in practice and science 2022-09, Vol.10, p.100118, Article 100118
Main Authors: Froehlich, Mary, McNickle, Allison G., Fraser, Douglas R.
Format: Article
Language:English
Subjects:
Airway management
Facial fractures
Gunshot wounds
Self-inflicted
Tracheostomy
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Summary:•Self-inflicted GSWs to the face may compromise a patient's airway and mental status.•Patients that can protect their airway may be managed with non-invasive support.•Supraglottic airways may be an alternative to endotracheal intubation in select cases. This study characterizes the prehospital and trauma bay airway management of self-inflicted gunshot wounds (SI-GSWs) to the face. 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. 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
ISSN:2666-2620
2666-2620
DOI:10.1016/j.sipas.2022.100118