In the Netherlands, a helicopter MMT- team(Mobile Medical Team) is on stand-by 24/7. It carries a doctor/surgeon and nurse that can preform surgery if they have to. So if the paramedics can't intubate you, they keep hyperventilating you (Ambu-bag) and call for a MMT, that can do a Tracheotomy (for example)
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''It's time for Plan B...'' ''We have a Plan B?'' ''No, but it's time for one.'' -Stargate SG-1