Before the patient is dead some can go into pure panic mode.

Also when you are the one that caused the impending death that pressure rises 100x fold. Few docs can understand that even if you’re use to coding patients or dealing with dying patients, etc.

Add to it a total bloodbath that you can’t control or see anything

Now obviously with that it takes an overwhelming incompetence or malice to do what he did.. hence why he’s in the national news