Take a look at the 20 page CA med board ruling.
This guy was a disgrace, and this tragedy was quite predictable.
This is a dangerous game. When you forget that, your house burns down with you in it.
Bizarro world polypharmacy, no adequate monitoring, not paying attention, not recognizing an emergency, no h&p, false documents, trying to intubate with no laryngoscope (wtf?), obviously no LMAs or other emergency airway gear, etc, etc. probably very limited airway skills after a decade or two of his very strange practice.
Just like Joan, the EMS guys intubated themselves apparently without much difficulty, but far too late.
If you lose the airway and cannot intubate or ventilate, LMA, etc. fails, don't wait for the anoxic brain injury.
They won't wake up in time, nobody is going to bail you out, just cut the neck.
A trach scar and repair is infinitely better than what is only another minute or two away if you don't.
I bet the oral surgeon had a scalpel, probably on the tray 3 feet away. The trach scar will heal, the liquified brain tissue will not.
$50 says no succs there either.
I bet every patient would gladly pay an extra $2.50 for their share of proper emergency medications and equipment.
