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Message: <blockquote data-quote="IMGASMD" data-source="post: 22367774" data-attributes="member: 826459">It just feels very muddy. Sure it’s almost like a board case, with challenges of a developing and resource poor country. You have some conflicting goals here. But at least for the boards, the answer is almost airway airway airway. Elevated ICP? Do you know how high? GCS is 10-11, probably tells me it’s not super high? Why would a contracted jaw mean a difficult intubation, especially when you said yourself, she couldn’t close it... are you worried you don’t have enough room in the mouth for the scope? I am sure most attendings here can turn this into a oral board question and at the end you harmed the patient at the end of the case. If you want a pat in the back. Yes. Good job the patient survived. But you want to learn, you need to be a little less defensive. Good luck. And happy holidays.</blockquote>

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