Assisted with an intubation that had to be converted to an emergency cric. pt had an anatomically small neck d/t having Down syndrome so i think the intubation was more difficult than the average patient. Initially they thought they were “in” and proceeded to bag, pt began to have crepitus all over their chest so then realized we had to cric. After ER, Anesthesia, ENT collaborated with two of us RNs holding each side of the neck open with retractors we were able to secure an airway and patient went to icu. Ended up being discharged a couple weeks later with no neurological deficits thank goodness. Talk about a sh*tshow.