en طب اورژانس Emergency Medicine گزارش مورد Case Report <ul> <li style="text-align: justify;">We present a case report of a challenging airway management and subsequent cardiac arrest in an obese patient with complex maxillofacial fractures. The patient, a young unknown man involved in a motorcycle accident, was brought to the emergency department with a low level of consciousness. Cervical immobilization was initiated, and the patient was triaged as a level 1 according to the Emergency Severity Index. Despite the use of a cervical collar, airway compromise and severe maxillofacial bleeding necessitated immediate intervention. This case report highlights the challenges encountered during intubation, the development of tension pneumothorax, and the successful management of cardiac arrest in this complex trauma patient.</li> </ul> Pneumothorax, Advanced Trauma Life Support Care, Thoracostomy 159 162 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-224-3&slc_lang=en&sid=1 Amir Rahmanian Sharifabad rahmanian_amir@yahoo.com 10031947532846009400 10031947532846009400 Yes Assistant Professor of Emergency Medicine, Faculty of Medicine, North khorasan University of Medical Sciences, Bojnurd, Iran Sayyed Reza Ahmadi Koupaei ahmadikoupaeir@mums.ac.ir 10031947532846009401 10031947532846009401 No Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Mahmood Hosseinzadeh Maleki HoseinzadehMalekiM@mums.ac.ir 10031947532846009402 10031947532846009402 No Associate Professor of Cardiovascular Surgery, Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Elhamsadat Mousavi elham.s.musavi@gmail.com 10031947532846009403 10031947532846009403 No Faculty of Medicine, North khorasan University of Medical Sciences, Bojnurd, Iran