1. -Motor Vehicle Accident (MVA)=possible cervical injury(C-Spine). -Stablization of the C-spine injury is done only AFTER managing the Air way.
2. Possible C-Spine injury
   1. jaw thrust
      1. Clear oral rout to trachea
         1. orotracheal intubation
      2. Subtopic 2
         1. nasotracheal intubation
      3. oral and nasal intubation is impossible
         1. cricothyroidotomy
            1. 2nd(RESPIRATION):Chest physical exam to confirm Breathing & Ventilation(= equal bilateral breath sounds, no tracheal shift, & normal percussion on both lungs) Suction of the moral & Nasal cavity to prevent aspiration
            2. 3ed(CIRCULATION): CVS Physical Exam, I.V. worm NS, apply external pressure to any Bleeding
            3. 4th(CNS): Degree of mental Disability Assessment
            4. Apgar score for new born(out of 0-10)
            5. RESPIRATION
            6. Cry=2
            7. weak cry=1
            8. no cry=0
            9. CIRCULATION
            10. Heart Rate
            11. more then 100 =2
            12. less then 100=1
            13. not palpable=0
            14. Skin Color
            15. all pink=2
            16. Extremities are blue=1
            17. all blue or pale=0
            18. CNS
            19. Mu. Tone
            20. Flexion=2
            21. weak flexion=1
            22. no flextion=0
            23. Reflexes
            24. Cough or sneeze=2
            25. Grimace=1
            26. no reflexes=0
            27. Glasco Coma Scale
            28. Subtopic 1
            29. Subtopic 2
            30. Subtopic 3
            31. Subtopic 3
3. No C-spine injury
   1. can speak normally=breathing normally
      1. do not intubate !