As anesthesiologists, we are trained to deal with uncertainty and complexity. Walking into preoperative holding in the morning, we have formulated an anesthetic plan for each of our patients. We discuss this plan with them and their family, including potential risks, benefits and alternatives, and execute accordingly. A vast majority of the time these plans go well, and we deliver our patients to the PACU or discharge to the ICU. However, those infrequent times when things don’t go as planned is when others look to us to lead. Sometimes it is an unexpected difficult airway, sometimes it is a cardiopulmonary arrest on induction – crisis situations we are trained to handle effectively. But sometimes, an event occurs that is so rare, so unexpected, and on such a large scale that our training and preparation are not enough. At times...

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