If a patient is unable to maintain their airway, which action should be performed?

• A. Intubate immediately.
• B. Administer oxygen only.
• C. Perform Heimlich maneuver.
• D. Suction and attempt removal with Magill forceps using direct visualization.

Answer: (D)

Relieving an airway obstruction with direct visualization is the priority when a patient cannot maintain their airway. The best action is suction to clear secretions or debris and attempting removal of the obstructing object with Magill forceps under direct visualization. Seeing the obstruction and grasping it allows you to remove it safely and quickly, reducing the risk of pushing the object deeper and restoring airway patency. After the obstruction is cleared, you can proceed with definitive airway management if needed. Oxygen alone does not remove the blockage, and attempting blind intubation can fail or worsen the situation. The Heimlich maneuver is for conscious choking and isn’t the most reliable step once you have a view of the airway and can directly remove the object.