What is the most appropriate method to establish airways in a patient with a suspected neck fracture?

In managing a patient with a suspected neck fracture, it is crucial to avoid any maneuvers that could exacerbate potential spinal injury. The modified jaw thrust is the most suitable method in such scenarios because it allows for airway management without necessitating movement of the cervical spine.

The modified jaw thrust technique involves placing the thumbs behind the angle of the mandible and pushing the jaw forward. This maneuver opens the airway by displacing the tongue anteriorly without tilting the head or neck, significantly reducing the risk of aggravating any existing spinal injuries. This method not only secures the airway but also provides effective ventilation support in emergency situations.

While other methods such as jaw thrust and head-tilt/chin lift might be options in different contexts, they could present risks in the presence of a cervical spine injury. The jaw thrust can be less effective on its own without the modified approach's nuances, and the head-tilt/chin lift requires neck mobility that should not be used in cases of suspected trauma. Hyper-extension of the neck is particularly contraindicated, as it can lead to further damage to the spinal cord.

In summary, the modified jaw thrust is specifically designed to minimize movement of the cervical spine while effectively managing the airway, making it the most