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JULY 24, 2025

Managing the Massively Contaminated Airway: When the Levee Breaks

Adam Parks, MD, FRCPC
Assistant Professor of Emergency Medicine
Dalhousie University
Halifax, Nova Scotia

The massively contaminated airway presents airway providers with multiple unique challenges and requires a nuanced, expert approach. Gastric ultrasound may be useful in providing rapid, objective aspiration risk stratification.

It’s 2 a.m. and you receive a call from a sheepish emergency physician: “I have a sick patient down here with a brisk variceal bleed. We’ve done