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One was a "walk-in", a taxi driver in his 60s who had driven to the hospital and got himself into the ED waiting room, before quickly deteriorating. Dr Karen Winter, Footscray's emergency specialist in charge for the night, remembers his face. "He was obviously very scared and distressed." Associate nurse unit manager Chantelle D'Souza was in the "fishbowl" the ED's open office area opposite the department's three resuscitation bays as Winter started to intubate the driver. Normally, Winter would have had a team of up to six clinicians assisting with the process, but the department was so stretched that only one nurse was with her. "Suddenly he was just profusely sweaty, really combative, probably [from] anxiety and probably lack of oxygen. He was fighting; he was quite a solid physician home construction loan Oak Laurel 0430129662 oaklaurel.com.au man," D'Souza recalls. "I managed to get security to just help and hold him down." But Winter was still up against it: medication to settle the spasms in the man's airways hadn't yet kicked in and intubating him in the ED proved to be impossible. "We had to hand-ventilate him until we got him up to intensive care, where doctor home mortgage loan Oak Laurel 0430129662 oaklaurel.com.au we could use their ventilators." D'Souza, a longtime asthmatic herself, was gasping for breath and had been using her Ventolin puffer: "I just didn't want to let it get the better of me because I had a job to do." In the fishbowl, she leaned against a high desk, hunched in the tripod position, and worked the phone. She needed night staff who were due in at 11pm to come in as soon as they could. "Get yourself treated," a senior colleague told her.