Water soluble lubricant. Portable suction device. Apply water soluble lubricant to distal end of tube. Place patient's head in a neutral position. Grab lower jaw and lift upward.
Bilateral lung sounds.
Assess ventilation as above. Continue ventilations with mask. The Combitube must be removed in order to re attempt endotracheal intubation. An intubation attempt should not take longer than 30 seconds. Removal of the Combitube should be accomplished with the patient on their side and suction immediately available.