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Updated: Dec 18, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Unattended Hoist Extraction of an Intubated Patient From Mountainous Terrain
Miles J McDonough1, Richard O Duncan2, Ronald L Brown3
1Snohomish County Helicopter Rescue Team, Snohomish, WA; University of Washington School of Medicine, Seattle, WA.
Abstract:
Airway management and maintenance of adequate ventilation during a patient's unattended helicopter rescue hoist extraction present unique challenges to the air medical provider. We present the case of a critically injured patient requiring emergent airway management and subsequent extrication via hoist from challenging, near-vertical terrain, which illustrates the logistical challenges of providing high-quality, neuroprotective mechanical ventilation in an austere air medical scenario.
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