Advanced Cardiac Life Support and Difficult Airway Management - The Need to Juggle Something

We present a preclinical case of complete heart block with failure of all medical and electrical therapeutic options. Advanced cardiac life sup- port became neccessary but endotracheal intuba- tion was not possible even by an experienced emergency physician. The airway was subse- quently secured with a supraglottic device (La- rynxtubus ® ). However, ventilating conditions de- teriorated with the patient developing hyoxia. Cricothyrotomy was performed to secure the air- way.