Multiple Deep Facial Lacerations in Surgery — 32yo Man | Trauma Surgery | SMLE Q#834
SMLE Question #834
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
Last updated: February 2026
A 32-year-old man is brought to the emergency department after a high-speed motor vehicle collision. He has severe maxillofacial trauma with multiple deep facial lacerations, gross midface deformity, and heavy oropharyngeal bleeding. He is agitated and cannot cooperate with airway maneuvers. Bag-mask ventilation is difficult due to facial disruption, and oral endotracheal intubation is anticipated to be impossible. What is the most appropriate immediate method to secure his airway?
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