Table 5.

Criteria for advanced airway interventions.

Advanced Airway Management Protocol
Respiratory rate	<10 bpm of >30 bpm
SpO2/FiO2 Ratio	<160
Arterial gasometry findings	pH < 7.2 or pH < 7.3 associated with respiratory fatigue
PaO2/FiO2 Ratio	<100 despite optimal oxygen therapy
Hemodynamic instability	Grade III-IV Shock
GCS	≤8 or GCS deterioration ≥2 points + Surgical indication
Maxillofacial fractures	Aspiration risk
Neck injuries	Expanding neck hematomas, tracheal or laryngeal injuries, inhalation injuries from associated burns, concurrent facial burns, stridor, or voice changes