Figure 1 1. Reliance on oxygen saturations has limitations and is a guide only to be taken in clinical context. 2. Intubating or standard LMA is an option if the operator is experienced in its use. Other options may include light wand, fibreoptic intubation, combitube, nasal and blind oral intubation if experience is available. If these are not options the surgical cricothyroidotomy should be performed immediately. *MILS, manual in‐line stabilisation of the cervical spine; **BURP, backwards, upward, right pressure to the thyroid cartilage to facilitate laryngeal views.