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After a period of stability, trauma patients can unexpectedly deteriorate. If this happens it is important to follow a systematic approach, if necessary repeating the primary survey. The following is an unusual case of airway obstruction not previously reported in the literature.
An 11 year old boy was admitted to the emergency department after a fall of approximately 30 feet from the roof of a factory. His initial Glasgow Coma Scale was 7 at the scene and had fallen to 6 by the time of his arrival at hospital. He …