Article Text
Best evidence topic report
Use of the McCoy laryngoscope in patients with suspected cervical spine fracture
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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 …