A pre-hospital team encounters a patient with a known tracheostomy who is in respiratory distress. The patient has a total laryngectomy. Why is this critical information for airway management?ALaryngectomy patients can be intubated orally as normalBA laryngectomy only affects voice, not airway anatomyCThe stoma is a secondary airway only - the mouth can still be used for ventilationDA laryngectomy patient has no connection between the upper airway and the lungs - the mouth and nose cannot be used for ventilation; ALL ventilation must be via the stomaEThe tracheostomy tube can be removed and the patient will breathe through their noseCheck my answer