Major road trauma in the prone position, when the victim cannot be released or retrieved due to intense pain, is a rare event. We present a case of a young patient who was incarcerated with his right lower limb in the prone position in a bulldozer. The impossibility of being able to extract him in a short time and the very intense pain, not responsive to high doses of analgesics, led us to perform an induction and intubation in the prone position with video laryngoscope. The success of the maneuver allowed us to release the patient in a short time with excellent outcome in terms of recovery of the lower limb.
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