Abstract
Background: Traumatic Brain Injuries (TBI) among trauma patients with chest and neck injuries, including those that died immediately, is estimated at 0.5-2%. An anticipated incidence of airway injury in patients with penetrating chest trauma ranges from <1% to 2%. Therefore, we aim to investigate the common pitfalls that both medical students and new physicians face in the recognition, diagnosis, and Emergency Airway Management.
Targeted Population: Airway injuries patients who are requiring urgent management in the ED, with Emergency Physicians for teaching approach protocol.
Aim of the study: Appropriate for assessment and priorities for Airway injuries patients by training protocol to Emergency Physicians. Based on patients’ causes of Airway injuries.
Methods: Collection of all possible available data about the TBI with airway injuries in the Emergency department. By many research questions to achieve these aims so a midline literature search was performed with the keywords “airway management”, “emergency medicine”, “principals of resuscitation in airway injuries", " maxillofacial injuries”. Literature search included an overview of recent definition, causes and recent therapeutic strategies.
Results: All studies introduced that the initial diagnosis of TBI with suspect airway injuries and initial therapy is a serious condition that face patients of the emergency and critical care departments for lifesaving.
Conclusion: Airway trauma is still highly lethal but good outcome can be expected after early effective intervention. However, basic prerequisites for that are an early diagnosis based on a high index of suspicion, thorough knowledge of the mechanisms of injury and early attainment of a safe and patent airway. The anticipating of an airway difficulty by the signs and symptoms will help in reducing morbidity, mortality and observation is necessary for optimal outcomes.

Key words: Airway trauma, Emergency physicians, skill approach, management