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Dear Editor; We read with interest the pharmacologically assisted laryngeal mask (PALM) consensus statement.1 This is an airway rescue technique for comatose hypoxaemic patients in the prehospital environment. The PALM procedure could also apply to the general practitioner (GP)-run community hospital environment since the facilities of a metropolitan hospital, specifically rapid sequence induction of anaesthesia (RSI), are not available.
The islands of the west coast of Scotland are served by such hospitals. The catchment population of these hospitals is clearly defined, and almost all patients will present to, …
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