Thanks for your query to health care magic. Its not so easy to explain to a common man about when to intubate or need. Intubation
is mainly done when patient is unable to sustain oxygenation by himself. They do blood gas analyses to know if oxygen levels and carbondioxide levels are abnormal and if intubation is necessary. Most probably a good hospital wiil follow guidelines accordingly and respiratory rate
alone is not an indication for intubation. Full case history needs to be reviewed beforecoming to a conclusion. RMSF is a rare disease and many times gets missed unless we are vigilant enough. Be supportive rather than blaming. They would have done the right thing but full case history & treatment history is needed before coming to a conclusion.
Dr. Balaji CHinnasami MD
Assistant Professor - Pediatrics