Secure airway and protect spinal cord (immobilization w/ rigid backboard + C-collar) Step 1: Can pt speak? (if yes, airway is intact) Step 2: Chin lift and jaw thrust - assess if nasal or oral airway can be maintained Step 3: Endotracheal intubation (ETT) o Oral if pt is not breathing w/ inline C-spine traction o NO nasotracheal intubation for pts w/ apnea or maxillofacial fractures Step 4: Cricothyroidotomy - incise between cricoid and thyroid cartilages and place trach tube Ensure adequate airway - Always maintain spinal immobiliazation and adequate oxygenation (100% O2 by bag mask)!!

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