Airway

Mallampati Classification

McCoy Laryngoscope Blade

Cormack-Lehane Scoring

Difficult to Bag

Beard

Obesity                           

No Teeth

Elderly (>55)

Snores

Difficult to Intubate    (Emerg Med J 2005; 22:99-102)

Look at head and neck

Evaluate 3-3-2

Mallampati 

Obstruction

Neck Mobility

Saturation reserve (Ann Emerg Med June 2006)

Difficult Extraglottic Device

Restricted Mouth Opening

Obstruction: at or below the level of the larynx

Disrupted or distorted airway. If the seat or seal of the device is disrupted

Stiff lungs or cervical spine. Poor lung compliance or inability to extend neck may hamper seal

Difficult Cricothyrotomy 

Surgery/Disrupted Airway

Hematoma

Obese/Access Problems (Can't get to neck)

Radiation

Tumor

Needle-Bag Ventilation

(can connect without the tubing as well)

(spike from IV tubing)

Needle Insufflation

(the other port is the release valve)

(the other prong is the release valve)