Airway management in C-spine injuries

participate in medical education and publications. However, her assumption that the patient photographed for this article was unaware of the "consequences of the consent," is erroneous. Informed written consent was obtained; and the published photograph is quite appropriate for the topic of presentation. Any further framing of the face or torso would have resulted in less than optimal illustration of the necessity for correct patient positioning. Any suggestion of impropriety and breech of confidentiality in this case is unwarranted as consent was obtained and editorial and peer review determined the photograph educational. As Slue suggests, the practice of placing a bar across the eyes in a photograph does not ensure patient anonymity, is distracting, and probably should be abandoned in the medical literature.