Just a Routine Operation

[@HK-pr8gc]

I am sorry for your loss, Martin. Thanks for sharing your experience to educate us. I am er physician will remember this to my heart during any of my airways emergency.

[@agee9567]

I watched this during my orientation in nursing, and I think it will stick with me forever! Thank you for sharing your experience Martin!

[@joycabrera461]

This is heart-breaking. My heart goes out to you, Martin. Thank you for sharing this story...

[@indianasen6145]

Thanking for sharing your story to educate us! Sorry for your loss!

[@Sheba_316]

This was tragic loss of life. My hear goes out to you and your two kids. I admire your ability to be able to move forward and even provide the Human factors training. Thank you.

[@kazzakhs]

Genuinely very sorry for your loss Martin. As a doctor, I would also like to express my sincerest appreciation and admiration towards your bravery and contribution to the making of this video, which will certainly contribute to improving the skills of many doctors including myself.

[@rajkiran8517]

I am so sorry Mr.Martin. I pray to God to bless you and your children.

[@brentocarrigan9512]

Mr Bromiley my sincerest condolences for the loss of Elaine; I echo sentiments expressed by many others here and express my appreciation and admiration for your bravery and integrity in sharing your tragic experience so future healthcare professionals may learn. May such a tragedy never happen on our watch.

[@ACE-ds3es]

Deeply sorry for your loss...it's high time the healthcare team see that no one is superior or inferior to each other...That you are a consultant or team lead doesn't imply MONOPOLY OF IDEAS BUT RESPONSIBILITY AND TEAMPLAYING...ONE OF THE KEY ASPECTS OF TEAM WORK IS LISTENING OH DEAR... NO ONE SHOULD FEEL INFERIOR OR SUPERIOR. Every has a specific role to play to ensure the PATIENT is SAFE.

[@LunarX100]

I am so sorry for your loss Martin...all my love to your family.

[@ssb0077]

I feel sorry that Martin lost his wife. My heartfelt condolences. I admire his integrity & altruistic spirit that made him share the tragedy of failure to intubate so that it could be prevented from repeating in other patients . I wonder if an emergency Cricothyroidotomy could have been attempted followed by a proper tracheostomy later.

[@johnbiddle1447]

We have learnt so much from this, but even now, non medical staff still struggle to get their point heard in stressful situations. Theres only a handle of gas men that I have worked with that value my opinion as an ODP. We still have a long way to go.

[@Sheba_316]

Very much so.. we still soldier on and continue to voice any concerns..

[@jennyb.9237]

I'm applying to an ODP degree..how do you feel as an ODP in your workplace?

[@ACE-ds3es]

You are very right...

[@tashamorriss8997]

Why oh WHY do film makers continue to put LOUD MUSIC over what someone is saying, so you can't hear them? There are no subtitles on here either - something to think about for future vids.

[@sadeksadek9829]

You are brave man

[@tashamorriss8997]

*Wrote this BEFORE watching only the beginning of this vid* Been in health care for over 40 years, worked everywhere including in the operating theatres (OT). Cant intubate can't ventilate - tracheostomy (a hole in the throat made from outside the skin at the front, into the trachea), is ALWAYS indicated in ANY life threatening situation where the patient cannot get enough O2 for whatever reason. Also try a smaller intubation tube or even a child's tube - the patients throat is closing up, so a bigger tube will not work. It seems obvious to me as a very experienced health care worker.

[@jedfra9172]

As someone with only 3 day first aid course training I was thinking why the hell are they not doing a tracheostomy. Crazy that the nurses didn't feel like they could speak up or were ignored when they did.

[@darkregions]

I'm very sorry for your loss but this will definitely be at hindsight when I start medical practice.

[@MrUltrasound]

It would take a very experienced SODP to take control and order a mini track, As in ALS protocol, its clinical experience not hierarchy that takes precedence in management of Advanced life support management. I took the decision as a SODP to carry out synchronised cardioversion and manage two consultants last year in the anaesthetic room. Peri arrest broad complex polymorphic tachyarrhythmia, which was life-threatening. He thanked me afterwards. 28 years of critical care and 5 ALS courses helped. I could stand back and see the ensuing issue, while my colleague was super focused on another clinical action

[@ssb0077]

When you say 'Mini track' is it emergency Cricothyroidotomy? Please reply. If so, will a formal Tracheostomy be needed later? I am a OG doctor & have attended 2 ALSO courses.

[@MrUltrasound]

@@ssb0077 yes mini track is a holding measure : while you can oxygenate you can not quickly eliminate CO2 : and acidosis will ensue in 30 minutes :

[@cruzan8183]

Wow. Did anyone suggest placing an LMA.

[@rachelgross9142]

they were trying to place an LMA when this situation first occurred. The reason why her O2 sat dropped in the first place was because they were unable to place it.

[@jarek665]

@@rachelgross9142 only partially correct - pt could have received succinylcholine as premed for ET placement so passing ET tube was only 50% helpful;. The patient would have to be actively ventilated until the medication wears off.

[@rachelgross9142]

@@jarek665 not sure exactly what you are trying to say with this comment. Any time a paralytic is given the patient would obviously have to be ventilated as well to maintain oxygenation. Paralytic is not typically given for an LMA placement though. If there is a true can’t intubate/can’t ventilate situation a trach or cric needed to be performed immediately. I’m assuming succs was already given as they tried to intubate the patient unsuccessfully.

[@admorechizonde2121]

Routine operation