

The patient’s airway was secured via direct laryngoscopy on the first attempt sans hypoxia, and was confirmed with end-tidal capnography. Ketamine and succinylcholine were used to facilitate rapid sequene intubation (RSI).

Given the erythema, edema, and carbonaceous material in the patient’s airway, the air medical crew team was concerned about airway compromise and impending obstruction, and elected to proceed with endotracheal intubation in anticipation of complete airway obstruction.

