What airway maneuver should be used for trauma patients with suspected spinal cord injury?

The modified jaw thrust maneuver is the appropriate technique to use for trauma patients with suspected spinal cord injury because it minimizes movement of the spine. This method allows for the opening of the airway without applying pressure on the neck or moving the head and cervical spine, which can exacerbate potential injuries.

In cases of spinal injury, preserving spinal alignment is critical to prevent further damage. The jaw thrust maneuver specifically focuses on displacing the tongue forward and repositioning the mandible, which provides access to the airway while keeping the head and neck in a neutral or protected position. This is essential in maintaining stability for patients who may have sustained significant trauma and could suffer from compromised neurological function.

Other techniques, such as the head tilt-chin lift or standard chin lift, involve flexing the neck, which can increase the risk of spinal movement and potential injury in these patients. The option of maintaining a neutral head position alone does not effectively open the airway, which is a necessary step in ensuring adequate breathing and ventilation in emergencies. Therefore, the modified jaw thrust is the safest choice for managing the airway in patients with suspected spinal injuries.