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814 Anaesthesia

A 33-year-old woman is brought to the emergency room from the scene of a severe motor vehicle accident. She is combative, confused, uncooperative, and appears dusky and dyspneic. Which of the following is the most appropriate management of her airway?

AAwake endotracheal intubation is indicated in patients with penetrating ocular injury.
BSteroids have been shown to be of value in the treatment of aspiration of acidic gastric secretions.
CThe stomach may be assumed to be empty only if a history is obtained indicating no ingestion of food or liquid during the prior 8 hours.
DIntubation should be performed as soon as possible (in the emergency room) if the patient is unstable
Anaesthesia
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815 Anaesthesia

A 22-year-old woman is involved in a major motor vehicle accident and receives a tracheostomy during her hospitalization. Five days after placement of the tracheostomy she has some minor bleeding around the tracheostomy site. Which of the following is the most appropriate immediate therapy?

ARemoval of tracheostomy at bedside.
BExchange the tracheostomy at bedside.
CExchange the tracheostomy in the operating room.
DBronchoscopic evaluation of the trachea at bedside
Anaesthesia
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