Wow, that video was tough to get through (excellent link!). As soon as her HR started dropping with low sats she was circling the drain on what should have been

Wow, that video was tough to get through (excellent link!). As soon as her HR started dropping with low sats she was circling the drain on what should have been a routine, relatively straightforward surgery. It's interesting to me that, also coming from an EMS background, my (armchair) reaction to that situation is to escalate the intervention much, much more rapidly (I would have tubed the patient as soon as her HR started dropping, and tried an OPA much sooner). I suspect that this has a lot to do with my internal mental framing of airway management: in the field, airway problems can quite quickly lead to death -- the framing emphasizes risk -- but in a hospital setting, especially a surgical one, mild-to-moderate airway problems are frequently encountered, and the framing emphasizes minimizing negative impact to the patient.