Airway Management and Definitive Care of a Toddler Following Impalement Injury by a Metal Straw

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Although pediatric trauma benefits from specialized pediatric care, at times, nonpediatric centers are required to provide initial management. In this unusual airway impalement injury, the combination of smooth coordination between emergency medicine and anesthesia, an articulated airway strategy, parental involvement, and clear, calm teamwork maximized patient safety during airway securement and transfer for definitive care. The airway strategy included the anticipation that the first attempt at endotracheal intubation may not be successful and the need to keep the “auditory space” clear. Public health warnings regarding the hazards of noncollapsible straws in the pediatric population should perhaps be considered.

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