Which statement aligns with the recommended management for airway in suspected basilar skull fracture?

• A. Use nasal airways to bypass obstruction.
• B. Keep patient supine and observe.
• C. Avoid nasal airways, protect airway, and transport for definitive care.
• D. Delay airway management until imaging.

Answer: (C)

Airway management in suspected basilar skull fracture requires protecting the airway without inserting anything through the nose. Nasal airways are avoided because a fracture at the skull base can create a pathway for a tube to enter the cranial vault, risking intracranial injury and infection. The best approach is to protect and maintain the airway now, using an oropharyngeal airway if appropriate, provide ventilation and suction as needed, and transport promptly for definitive care. This prioritizes securing the airway safely while ensuring the patient gets definitive evaluation and treatment. Delaying airway management or using nasal devices would not protect the airway or address potential obstruction, and observation or waiting for imaging could leave airway compromise unmanaged.