Acute Caremiddle twist
A 24-year-old man is brought to the emergency department after falling four metres from scaffolding onto concrete. He opens his eyes to voice, is confused and localises to pain. A semi-rigid cervical collar is in place. His breathing is loudly snoring and his oxygen saturation is 91% on 15 L/min through a reservoir mask. When you try to slide an oral airway in he gags and turns his head away. Blood-stained clear fluid is trickling from his right nostril and there is bruising over the right mastoid. Which one of the following is the most appropriate way to relieve his airway obstruction?