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Swatsurgeon - Not to interject too much but I've seen this case several times on the internet. All the pictures previously appeared to be in the ER and this one looks like he survived to be admitted. Does anybody know the real story (the most plausible one I heard involved crimping a blasting cap with his teeth) and what the final outcome was? And just to pay my dues - a crichothyroidectomy, IV. O2, try to clamp any major bleeders, kerlex for contamination prevention, and evacuate ASAP. Maybe try to block the back of the throat to control fluid entering upper airway though I'm not sure about gag reflex. Looks like the hospital did a trach so I might be on the right track. 18D is the one MOS I never got around to. Inquiring minds, etc, etc. Peregrino
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