I was similarly squeamish with cricothyrotomies where they don't have enough of a throat left for a breathing tube so you cut them a new one beneath the Adam's apple. Then I saw what riding a motorcycle without a helmet looks like and all of that melted away for simple maths. I can't fuck you up more than you've fucked you up, but this one neat trick might save what's left. It's totally dispassionate because it's just the last resort to preserve some sense of basic function. If a patient is pissed off at me because I'm hyper-aggressive with tourniquets or broke their sternum doing CPR, the fact that they're alive enough to be angry is a win in my book.
I was similarly squeamish with cricothyrotomies where they don't have enough of a throat left for a breathing tube so you cut them a new one beneath the Adam's apple. Then I saw what riding a motorcycle without a helmet looks like and all of that melted away for simple maths. I can't fuck you up more than you've fucked you up, but this one neat trick might save what's left. It's totally dispassionate because it's just the last resort to preserve some sense of basic function. If a patient is pissed off at me because I'm hyper-aggressive with tourniquets or broke their sternum doing CPR, the fact that they're alive enough to be angry is a win in my book.