"...The procedure was performed due to Megan’s confusion and movement at the scene. She was breathing adequately on her own prior to this procedure. Intubation was performed as a means of restraint more so than an adjunct to her breathing.
The team performed the procedure incorrectly and placed the tube not in her trachea or windpipe but in her esophagus, the tube leading to the stomach. While this is not that uncommon, it is very uncommon, and very deadly, to leave the situation uncorrected.