In-Reply-To: <00b201beb44c$aa30ed80$901fac3e@default>
I have never tried a combi-tube, and they have always looked clumsy and
awkward to me. An LM is of course not a device that protects the airway,
but if you need to get oxygen in and an LM allows that then you are better
than with no airway at all. I take it the patient perished - presumably
from the remaining injuries? The other option (which should not be
dismissed out of hand) is to try and get the patient into a different
position; flatten the seat back, rotate him a little onto the other seat
or out of the door and so on. Yes you may break the rule of primum non
nocere, but you may increase your chance of solving your airway problem.
The final thought of course is a surgical airway, and I freely admit that
the two attempts I had at that were complete disasters.
Best wishes,
Rowley Cottingham
[log in to unmask]
Clinical Governance. Just say no.
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