

its only guaranteed because of the amount of time the surgery took in the end. if it was shorter, it would have been averted. (say if it eas hour 10 or 20, would have been still negligent but they would probably be alive. the actual time was double that)
basically there was a chain of decisions and events that led to the deaths, but she still chose the one where the worst outcome was potentially death.
i mean there’s a shit ton of unskilled labor out there whose vertical reach isn’t that great.