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The intubating laryngeal mask airway (ILMA) has become a standard tool for difficult airway management in the operating room. Recent reports have outlined interest in its use in the emergency department setting.1 To date, there are few reports of out-of-hospital ILMA use.2 We describe here an out-of-hospital case of difficult airway, in the context of major cervical trauma, successfully managed with the ILMA.
A mobile medical intensive care unit was called to the scene of a motorcycle accident. The motorcycle driver had been hit by a car at high velocity. The patient, a 35-year-old man, was ejected 35 m from the point of impact. The basic life-support team that reached the accident scene first found …
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