A young adult with intellectual delay presented to the emergency department (ED) from a group home via ambulance with altered mental status and respiratory distress. The patient was known to be non-verbal but definitely alert and interactive at baseline. On arrival, the patient was lethargic with frequent coughing and notable stridor, unable to obey commands. Emergency medical services reported SpO2 was initially 85%, but the hypoxemia had improved with supplemental oxygen administered via non-rebreather mask. Partial airway obstruction was suspected due to the stridor, and it was feared that the paralysis of rapid sequence intubation might result in a “can't oxygenate, can't ventilate” scenario. Preparations were made for immediate emergency airway management with a dual set-up for awake fiberoptic tracheal intubation and a cricothyroidotomy. Nasal cannula was applied at flush rate with SpO2 sustained at 100% throughout the procedure. Ketamine was used to facilitate fiberoptic nasopharyngoscopy, which identified a green foreign body obstructing a view of the entire glottis. Standard geometry video laryngoscopy was then employed to guide foreign body retrieval with Magill forceps and a DuCanto (SSCOR, Inc) suction catheter (Video 1). It was evident during removal that the foreign body was aspirated broccoli. The patient recovered from sedation and had no further need for supplemental oxygen in the ED. The patient was treated for aspiration pneumonia, admitted for observation, and was discharged at their neurologic baseline the next day. Incomplete foreign body airway obstruction (FBAO) is a time-sensitive emergency that mandates urgent intervention before progression to complete obstruction, which will always rapidly deteriorate to cardiac arrest. Immediate removal is critical to patients surviving with good neurologic outcomes in the event of a cardiac arrest.1 Operators should be prepared to follow well-established algorithms for the management of incomplete and complete FBAOs.2 Magill forceps have been part of airway management for over a century3 and are known to be effective in removing FBAOs in prehospital cardiac arrests.4 The DuCanto (SSCOR, Inc) suction catheter is a wide-bore rigid suction catheter that has been shown to effectively remove viscous liquid in simulated airway contaminations5 but was successful in removing smaller solid foreign bodies for this case. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.