Table 2

Cases of failed intubation

Speciality/grade of doctorMechanism of injury/narrativePt age/sexNo. of intubation attemptsAlternative airwayProcedural morbidityOutcome
GP/consSevere asthma attack; decompensating28/F3ETTNilTransfer
ED/consMotorcycle versus car, severe left leg trauma, cerebrally agitated.40/M8ETTBradycardia (46 bpm)Transfer
ED/consFell from, then dragged by horse. Head injury, pupils fixed, GCS 8?/M3ETT, post LMA as interimNilTransfer
Surg/regCar versus Car (head on). Patient in extremis. No view of cords. Cardiac arrest during transfer. No ROSC30's/F1LMANilDeceased
ED/consCar versus pedestrian; open # tib/fib GCS 373/M2SurgicalNilTransfer
Surg/regPetrol tank explosion. Extensive burns including to face. Audible stridor, cords swollen44/M3SurgicalRecognised oesophageal intubation, desaturation (82%)Transfer
  • Cons, consultant; ED, emergency department; ETT, endotracheal tube; F, female; GP, general practitioner; GCS, Glasgow coma scale score; M, male; LMA, laryngeal mask airway; Reg, registrar; RTC, road traffic collision; Surg, surgery.