Predicting a difficult airway is darn near impossible


What day is it?
Thats not super uncommon in the very rural parts of texas. If there is a physician in the small ER then he probably isnt board certified and it will be known to him that the local medics or flight crews will be more experienced at airways than him. Plus they will end up taking the patient out anyways as these hospitals typically dont have ICU capabilities.
Thatd usually why the providers don't here, they can do it if need be but i assume would rather not. Actually had one of our docs a few years ago if he could intubate.

Flight isnt able to fly here as much in the winter like the rest of the year. Haha