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March 15, 2025

Midnight Emergency: A Critical Airway Rescue

In a dramatic midnight emergency, doctors successfully saved the life of an elderly man who was rushed to the hospital after choking on a large piece of meat. The patient’s medical history, which included coronary artery disease (CAD) and a previous stroke (CVA), made the situation even more critical.

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The heroic effort was led by Dr. Abhijan (MBBS, DNB, FIP, EDARM), Pulmonologist, Dr. Ramesh (MD), Anaesthesiologist, and Dr. Suresh, Emergency Physician, at Ekashila Hospital in Hanumakonda, Telangana. Upon arrival, the patient suffered cardiac arrest but was revived after two cycles of CPR and intubation. A CT scan revealed a massive 8-10 cm piece of meat lodged in the windpipe, causing a life-threatening obstruction. Emergency bronchoscopy confirmed the blockage in the middle section of the trachea. Removing such a large organic object carried significant risks, including airway injury, infection due to potential spillage, and the possibility of requiring a tracheostomy. The medical team employed specialized tools—a snare, basket, and endotracheal tube—to carefully extract the object in one piece, avoiding complications. Organic obstructions are particularly challenging due to their tendency to break apart, increasing the risk of secondary infections.

Thanks to the team’s quick action and expertise, the procedure was a success. The patient is now stable, with no signs of brain damage, and is expected to be extubated by morning. This remarkable rescue highlights the critical importance of skilled medical intervention and coordination in emergencies. The doctors’ swift response saved a life against all odds.