She arrived at the hospital conscious and breathing spontaneously. Impossible mask ventilation and diffucult intubation were anticipated. Direct laryngoscopy was performed and oro-tracheal intubation was successful. Establishing a secure airway in a trauma patient is one of the primary essentials of treatment. Any flaw in airway management may lead to grave morbidity and mortality. Maxillofacial trauma presents a complex problem with regard to the patient's airway. By definition, the injury compromises the patient's airway and it is, therefore, must be protected. In most cases, the patient undergoes surgery for maxillofacial trauma or for other, more severe, life-threatening injuries, and securing the airway is the first step in the introduction of general anaesthesia. In such patients, we anticipate difficult endotracheal intubation and, often, also difficult mask ventilation. The time available to accomplish the task is short and the patient's condition may deteriorate rapidly. Credit: World Journal of Emergency Surgery
Wouldn't "cric'ing" be too invasive vs a direct laryngoscopy and oro-tracheal with direct access is much less invasive requires less cutting (espically in a sterile environment such as the ER) while i do get your point