This one isn't regarding a patient, but it was during the intubation of a patient...so it counts.
A difficulty breathing comes into the ER and the resident steps up to get the intubation. He is having a difficult time getting the view and steps out. Attending says one of us from the flight crew can step up if we like (we were based in the ER.) You don't have to ask me twice, I am at the head before the attending can finish his sentence.
I position myself and am getting my view, and this resident is in my ear and just keeps repeating "he is really anterior, so watch out...his airway is just so anterior, make sure you get a good view, because his airway is so anterior..." and just keeps going on about how anterior this persons trachea is. At this point I am not sure if he is trying to save face or just trolling me.
I get a view and complete the intubation. Not a big deal, the resident is a PGY-1 and doesn't have a ton of experience, so it isn't the worst thing in the world for him to step aside. Happens all the time.
I secure the tube and he comes up to me and says, "How did you get that tube, I mean the guy was so anterior." At this point I am thinking, please say "anterior" one more time....
I look at him and say, "Every airway I have ever seen is anterior. That is where the trachea lives, right there in front of the esophagus. If the trachea is ever NOT anterior, you either have the patient prone, or need to get a second opinion urgently..."
The attending overhears this and says, "He [me] brings up a valid point. Lets see if we can find you an airway head to take home for the day."