I am serving on a committee being tasked with planning for the response and management of the inpatient with a difficult airway. As EM providers, we have the luxury of large difficult airway carts with multiple toys, backup adjuncts, VL units, etc. However, for the "code blue" situation on a medical or surgical floor, having all of these items immediately at your disposal is logistically impossible...especially across 6 floors with multiple wings. While it would be nice to have CMacs and difficult airway carts in every unit on every floor, the price alone would make this insurmountable. Additionally, lugging larger VL units and carts through halls, into elevators, and down unit halls is also no feasible for every "code blue" that is called.
Thus, I turn to the EMCrit world for recommendations. If you could assemble a limited amount of difficult airway supplies/adjuncts to have on every floor in every unit, what would they be? Certainly, the standard airway box that is present on every hallway corner will be there, but when a "code blue" is called on the 3rd floor surgical unit, and the EM providers respond, we have no way of knowing if this is a 500lb no-neck patient with a mallampati of 12 until we're there and it is "game on". So what would you have (in addition to the assumed bougie) in a hospital-wide "difficult airway box" that could be found on every unit?