”The line went dead. Kate breathed out and set about organizing her day so that she could be at the park by 12.00 noon.That night Kate had trouble sleeping. She was excited at the idea; her mind raced ahead to what might happen.The morning dawned and Kate rose, had a shower and dressed, then headed off to her work in the city. The morning seemed to drag as the clock slowly wound its way towards noon.Ten minutes before the appointed time, she quickly hurried out of the office onto the street and made her way to the park. She was dressed in her short skirt, high heels and a white blouse. The day was sunny and warm. Kate carried her bag that held the towel that she felt she might need.She arrived at the park. Her phone beeped and a message had arrived giving her directions to a particular spot in the park. She looked around and noted that the park was pretty busy with many walking and many soaking up the warmth of the sun.Kate arrived at the spot, laid her towel down and then proceeded. Out of habit, she glances over to her emergency equipment. The tracheostomy tray. The cricothyroid membrane puncture needle. She catches the eye of her anaesthetic nurse assistant who raises an eyebrow as if to ask “It’s not that bad, is it?”“No,” says Pam reassuringly in answer to the unspoken question. “Let’s try patience.”The moments continue to slip by as the teenager’s blood oxygen continues to fall, slowly approaching the point when the girl’s red cells will begin to split — then the patient’s cords relax and her larynx opens. Her chest rises as she inhales deeply. Pam takes her laryngoscope, opens the girl’s mouth — careful not to damage her even white teeth nor trap the edge of her tongue — and passes the scope’s blade over the base of the girl’s tongue, sweeping it forward until she can peer down her throat and see the troublesome laryngeal cords. Pam takes the oro-tracheal tube and deftly introduces it past the tongue, between the cords and through the larynx and finally,.
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