Indications        
      
      
      
        Massive maxillofacial haemorrhage
        Intubation must be performed first
      
          
 
     
          
     
          
          
          
      
        Equipment
          
    
       
         - 2 nasal epistats
 
         - 2 dental bridges
 
         - cervical collar
 
         - 50ml syringe
 
         - saline
 
          
          
        
          Technique
          
  
          
         
           - Insert nasal epistats into each nostril – DO NOT INFLATE YET.
 
           - Insert dental bridges either side of the ET tube, between upper and
lower molars and with point of wedge towards the back of mouth.
 
           - Apply well fitting cervical collar (to stabilise mandible).
 
           - Inflate posterior balloon (WHITE VALVE) with 10mls saline.
 
           - Inflate middle balloon (GREEN VALVE) with 20–30mls saline.
 
           - Repeat in opposite nostril.