July 14, 2002 M-23 was admitted to deft Advocate Lutheran General Hospital for injuries from a car accident, his jaw was wired shut and he was fiberoptically nasally intubated, which was secured by a suture. Two days later, pltf started having trouble breathing as the ventilator was set at SIMV ( 4 respirations per minute) and complained to his fiance who informed the on-duty nurse. Pltf was administered several doses of morphine and Versed based on a three day old order which further compromised pltfs ability to receive sufficient oxygen. An hour later, pltfwent into respiratory arrest and then cardiac arrest and the SICU did not have the difficult airway kit or the fiber-optic scope kit available at the unit. Pltf slipped from respiratory arrest to cardiac arrest with a heart rate of 49, then his heart stopped beating. A pulse was not restored for 6 minutes and pltfwas deemed unresponsive and declared brain dead on July 22, 2002 (survived by mother and adult sister). Self-insured Advocate Lutheran General Hospital paid $1,200,000 and ISMIE paid $900,000 on behalf of Park Ridge Anesthesiology Associates, Dr. David Rosen and Dr. Manoj Shah (split unknown).