Abstract
Surgical cricothyroidotomy is considered a critical skill in emergency airway management, though it is rarely used and fraught with complications. A variety of approaches are taught, including both the standard and rapid four-step techniques. We report a case in which an air medical crew used a gum-elastic bougie (endotracheal tube introducer), a common device in many airway kits, to facilitate surgical cricothyroidotomy in a 58-year-old patient with a pharyngeal mass, respiratory failure, and failed rapid sequence induction.
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