There’s an ABC story up about the inquest into the death of Suki Thurairajah who went to Canberra Hospital for dialysis and didn’t make it out alive.
First year registrar Clare Thomsett put an air tube down the wrong hole while working unassisted:
Today the doctor who incorrectly inserted the tube, first-year anaesthetics registrar Clare Thomsett, told the coronial inquest that she had not been assisted in inserting the tube as is required.
She said as a result, she had to remove a light she was holding that gave a view of the vocal chords and the correct passage of the tube down the throat.
Dr Thomsett also said communication in the emergency team was chaotic and the roles of the emergency team members were not made clear by the senior doctor present.