06.f.iv • Massive facial trauma

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.