You are caring for a 69-year-old man with congestive heart failure. His breathing is profoundly labored, his oxygen saturation reads 79% on oxygen via nonrebreathing mask, and he is showing signs of physical exhaustion. Considering that your protocols do not allow you to perform rapid-sequence intubation, you should:
A) insert an oral airway, assist ventilations with a bag-mask device, and transport at once.
B) preoxygenate him with a bag-mask device and then perform blind nasotracheal intubation.
C) give him Valium for sedation, perform orotracheal intubation, and transport to the hospital at once.
D) insert a nasopharyngeal airway and ensure that the nonrebreathing mask is tightly secured to his face.
Answer: B) preoxygenate him with a bag-mask device and then perform blind nasotracheal intubation.
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A(n) ____ herniation is herniation of the brain through an open fracture.
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A. hemorrhage C. hyperthermia B. postanesthesia D. paralysis