The elderly patient began vomiting blood early that morning. You arrive on the scene and are rushed inside by the woman’s daughter, who quickly fills you in on the patient’s history–late-stage esophageal cancer. The woman is sitting up in bed, alert and clearly frightened, with bright red blood staining her chin and chest. She is gasping for breath as you quickly set up your equipment, but when you turn on the portable suction unit, nothing happens. You exchange frantic glances with your partner and scramble for a Plan B.












