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Use of the McCoy laryngoscope in patients with suspected cervical spine fracture
  1. Simon Carley,
  2. John Butler
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL

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    Report by Simon Carley, Specialist Registrar Search checked by John Butler,Specialist Registrar

    Clinical scenario

    A 24 year old man is brought to the emergency department after a fall. He has reduced conscious level and requires intubation to secure his airway. As a cervical injury cannot be excluded you attempt intubation in the neutral position with manual in-line cervical spine stabilisation. At laryngoscopy using a size 4 Macintosh blade you are unable …

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