Management of Maxillofacial Injuries SOP

Question 1

Outline the contents of the Management of Maxillofacial Injuries SOP

Answer 1

Applies to all clinical crew

Covers:
Patient assessment
Management
Discussion of blood transfusions
Documentation

Question 2

Outline the approach to patient assessment in the context of maxfax injuries

Answer 2

• Don’t let them distract you from a full primary survey
• Let patients with a high GCS support their own airway, avoid immobilisation
• Attempt to diagnose the underlying bony injury
• Assess for signs of raised intraocular pressure

Question 3

Outline the approach to PHEA in the context of maxfax injuries

Answer 3

• Likely to require PHEA
• Meticulous pre-oxygenation
• Must have two working suctions
• Give the drugs ideally in a head up position
• Lay them down
• Bear in mind blood absorbs light

Question 4

Where does extensive maxfax bleeding tend to originate from?

Answer 4

Maxillary artery, brand of external carotid

Question 5

Describe the process of controlling extensive maxfax haemorrhage

Answer 5

1. Bite blocks
2. Rapid rhinos
3. Collar
4. Inflate balloons
5. Pack oral cavity with adrenaline soaked gauze

Question 6

What are the salient points regarding documentation in the context of maxfax injuries?

Answer 6

Document and handover swabs
Document bony, cranial nerve and dental examination
Flag for D&D