I've used that Miller 4 monster once, just for kicks. Unwieldy beast. That being said, had an extremely difficult floor airway the other day, coding - GIB + emesis. After a few unsuccessful attempts (still getting CPR, no ROSC), an ICU fellow wanted a look. Let em have it. Goes in with the Mil 3, which was the last blade used. After a short struggle, dude asked for a Mil 4. Since the patient wasn't 11 feet tall, I politely told him to get the * out the way and hand the blade back. Can't think of another request that further demonstrates your lack of ability to handle an airway. Maybe the code runner asking for the glide when the patient is spewing blood and feculent material out the mouth?
