Welcome back to another episode of Best Case Ever mini podcast series as part of EM cases.

I'm your host, Dr. Rajiv Tavanathan.

I have a very special guest today.

He's going to be interviewed all the way from Halifax, Nova Scotia. We have Dr. George Kovach, who is a professor of emergency medicine at Dalhousie University, where he also works clinically as an emerged physician in Halifax, Nova Scotia, Canada. And if you recognize his name, you probably know him as a world-renowned airway expert, having been one of the co-founders of the AIMA course, that's Airway Interventions and Management in Emergencies, and he's published extensively on this topic, earning him cross appointments, the departments of anesthesia, and the Division of Medical Education at Dalhousie. He's here today. He's got some interesting airway cases for us, and I can't wait to hear about it. So, George, welcome to the show. Thanks. Great to be here. Yeah. So best case ever, tell me what you got

first this month. So again, I need to preface this with best case ever when we're talking about

emergency medicine or resuscitation is obviously best case in terms of it being interesting.

The first case, and if we get to a second case, you know, unfortunately, these are terrible

scenarios for the patient, so I just wanted to throw that out there.

But this is a patient that presented to us with little heads up, and it was a young guy

who was in his 20s.

And he was having some troubles in life.

And after something went bad in his life, he felt that the way he was going to resolve

that was with a knife to his neck.

And so what he did was he stabbed himself in the neck and then sort of took off into the woods

and he was apprehended and brought in by EHS, our pre-hospital system here.

And we had about a 10-minute heads up that we've got a 21-year-old guy coming in with a

penetrating neck injury.

So that's the setup. So what did the patient look like

when he finally got to your ED? The patient arrived with the EHS team. He was sort of sitting up

and he had a shirt full of blood and the medic was sort of holding a gauze right over the middle

of his anterior neck and there was sort of blood

dripping down and you see this guy and i'm going to skip through the fact that you know that from a

...