Which statement is NOT aligned with the recommended initial trauma management approach to avoid aspiration?

• A. Elevate head of bed as appropriate
• B. Avoid supine position if risk increases
• C. Use careful airway management
• D. Delay airway assessment until imaging is completed

Answer: (D)

Protecting the airway to prevent aspiration is a priority in initial trauma care. Elevating the head of the bed, when appropriate, uses gravity to reduce the chance of aspirating stomach contents and improves airway management. Avoiding a fully supine position in patients at risk of aspiration also lowers regurgitation into the airway. Caring for the airway with prompt assessment, readiness for suction, and securing a protected airway with the right technique further minimizes aspiration risk during resuscitation. Delaying airway assessment until imaging is completed goes against this approach, because securing and protecting the airway should happen early to prevent aspiration and ensure adequate oxygenation.