seekersofthetruth
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We had a drowning call last night. A bystander saw a man floating face down in the bay and jumped in and started pulling him to shore by the time we got on scene. We jumped a fence and got a collar and board on him while getting him onto the shore. Pt had a strong radial, along with snoring/gurgling agonal respirations. This guy had the worst mallampati and boots score I have ever seen. He took an OPA airway fairly well but our two intubation tubes were a negative. Even with suction we still couldn't see anything but tounge. Someone else attempted an LMA after the two intubation attempts and that wouldn't even stay in him. So the best airway we had was our OPA. His pressure was originally through the roof at about 240/130. Pulse was about 90, strong, regular. I wanted to put our pt on c-pap to help push all of the fluid out of his airway but 5 paramedics on scene disagreed with me. What are your feelings on this? Anyways he ends up going into pulseleas vtach arrest. With CPR and two rounds of epi and atropine we got ROSC. Anything we could have done differently?