# Airway Management in Trauma; Roadside to Resus

Page: https://stenobird.com/podcast/the-resus-room-743091/airway-management-in-trauma-roadside-to-resus
Text version: https://stenobird.com/podcast/the-resus-room-743091/airway-management-in-trauma-roadside-to-resus.md
Podcast: [The Resus Room](https://stenobird.com/podcast/the-resus-room-743091)
Published: 2026-02-12T07:20:00+00:00
Episode link: https://theresusroom.libsyn.com/airway-management-in-trauma-roadside-to-resus
Audio file: https://traffic.libsyn.com/secure/theresusroom/Airway_Management_in_Trauma_v1_edit_post_auph.mp3?dest-id=367790
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JSON: https://stenobird.com/v1/public/podcasts/the-resus-room-743091/episodes/airway-management-in-trauma-roadside-to-resus
Duration seconds: 3490

## Resource

This episode is an absolute cracker! And we can say that as we've got outsider help... We've all been involved with patients where securing the airway with a prehospital anaesthetic feels intuitively right; the patient with a severe head injury after a fall from height, the unrestrained driver in a high-speed collision with devastating chest injuries, or the patient with significant maxillofacial trauma following assault. In these situations, advanced airway management appears clearly beneficial. What remains a bit ambiguous is the effect of that intervention. Does it play out into a mortality benefit and if so how should we redesign systems to meet a 24 hour need for this (with many prehospital critical care services not being available fully around the clock), bearing in mind competing financial priorities for optimum health care. Maybe it's okay that for some patients the anaesthetic is delayed to the Emergency Department? Worldwide, trauma accounts for an estimated 4.4 million deaths annually and carries a substantial economic burden. Despite decades of improvements in trauma systems, medications such as tranexamic acid, and the development of prehospital critical care teams, some key aspects of trauma care remain really difficult to study well. Prehospital emergency anaesthesia is a prime example. It is time-critical, ethically complex, highly operator dependent and almost impossible to study using conventional randomised trial designs. As a result, clinicians have largely been forced to rely on observational studies, despite the well-recognised problems of bias and confounding that accompany them. In this episode, we explore the existing evidence base and then focus on a landmark new study published in The Lancet Respiratory Medicine. This paper applies machine-l…

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## Transcript

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