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Failed airway — RCPSC EM MCQ

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HardResuscitation, procedures, airwayFailed airwayRCPSC EM

CTAS 1. A 48-year-old with facial burns becomes unable to phonate. Two experienced attempts at orotracheal intubation fail, oxygen saturation falls to 72%, and supraglottic airway placement does not ventilate. Neck anatomy is palpable. What is the most appropriate next step?

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Correct answer: EPerform emergency front-of-neck airway

Cannot intubate, cannot oxygenate after failed supraglottic ventilation requires immediate emergency front-of-neck airway.

Reference: Canadian Airway Focus Group recommendations