A young woman experienced massive facial trauma after being ejected from her car when it struck a tree. She is semiconscious, has blood draining from her mouth, and has poor respiratory effort. The MOST appropriate initial airway management for this patient involves:
A) vigorously suctioning her oropharynx for no longer than 15 seconds and then inserting a multilumen airway device.
B) alternating suctioning her oropharynx for 15 seconds and assisting her ventilations for 2 minutes until you can definitively secure her airway.
C) suctioning her oropharynx and performing direct laryngoscopy to assess the amount of upper airway damage or swelling that is present.
D) providing positive-pressure ventilatory support with a bag-mask device and making preparations to perform an open cricothyrotomy.
Answer: B) alternating suctioning her oropharynx for 15 seconds and assisting her ventilations for 2 minutes until you can definitively secure her airway.
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