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As someone who has come late, I'd like to add a few thoughts. If they taught us everything we needed to know to be a doctor while in medical school, medical school would run 20+ years. Part of pursuing a (supposedly) professional education (training?) is the ability to learn on your own. It doesn't sound like this case is a protocol issue as much as a management issue. Let's face it, none of our patients ever follow the protocols. You have to be able to think outside the box. Patients never read the textbook or protocol manual before calling 911. I won't argue whether this pt needed 2, 3 or 100 people to manage but in the field you may not have enough people and will have to manage. To the OP, it sounds like your instructor was trying to give you what he/she could before the strike shut everything down, be thankful he/she cared that much and didn't leave you on your own. It also sounds like the instructor did not know about the "protocol" either so how can you hold him/her accountable. In the end, you are an adult undertaking a professional education and failed. Suck it up and deal with it.