The Senior Registrar has just performed a percutaneous tracheostomy, on a 17-year-old female, Ashleigh, recovering from meningococcal sepsis.
As the supervising consultant you were unavoidably called away to a separate emergency. The procedure was undertaken with due diligence, but has been complicated by a posterior tracheal tear (acute bilateral pneumothoraces and massive subcutaneous emphysema).
You as the consultant need to inform the guardian (an ex nurse) of this unfortunate complication, but have also been made aware that the consent for the procedure was obtained by the junior registrar and was rushed, lacked detail and was incomplete.
(Communication and Ethics) - Pass rate ; highest mark .