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Medical-Legal Issues of Emergency Airway Management

By Mark J. Greenwood
March 31, 2009

The failure to manage a patient's airway can lead to lack of oxygenation and ventilation, and to resulting brain injury or death. Such failures can easily culminate in large awards.

Health-care providers are aware that they must be mindful of exposing patients to the risk of harm associated with invasive procedures, including intubation, and only perform them when it is indicated. But if airway control is not established early in the patient's course of care, sometimes the window of opportunity to establish control may pass quickly and result in significant harm. Thus, basic to airway management is the decision whether to gain control of an airway by intubating (inserting into the trachea) with an endotracheal (ET) tube, or whether to manage the airway expectantly ' by “watchful waiting” ' according to the patient's signs and symptoms.

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