Case Report
Cricothyroidotomy on the scene in a patient with severe facial trauma and difficult neck anatomy

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Abstract

We present a case of a patient with severe facial trauma who was treated at the scene by a physician-staffed trauma life support team. Because of massive oropharyngeal bleeding in addition to a difficult neck anatomy in a very obese patient, a cannot-intubate, cannot-ventilate situation occurred. Control of the airway could finally be achieved by surgical cricothyroidotomy. The current literature concerning emergency cricothyroidotomy is discussed.

A correctly performed cricothyroidotomy is a

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