Today's "Lesson" is all about knowing one's limitations, scope of practice and appreciating the little voice inside one's noggin.

Dr Andy Buck is an ED Physician who works all over Australia, but is based in Melbourne where he runs the very excellent Emergency Trauma Management course.

This is a case of procedural sedation which goes a little awry. It is a nice counterpoint to all of the stuff we hear about safety, "fasting status" and the classic - "easy intubation, rocky extubation" scenario.