“…Direct airway injury is suggested by air bubbling through the neck wound, subcutaneous emphysema, respiratory distress, hoarseness of voice, cough, haemoptysis and proximity of the airway to the line of injury (Demetriades et al, 1996b). Lateral cervical radiographs may often demonstrate soft tissue air or foreign bodies (Cicala et al, 1991). An endotracheal tube can be inserted into an obvious breach in the trachea (Moeng and Boffard, 2002), but a further definitive airway will be required later.…”