We did all the same, except for no needle decompression, the ER coded her shortly after we got her there. Our tube was "good" as well, but it turned out that the genius that put her trach in for the first time, didn't place it in the right spot creating a false track, where our tube ended up in. So visually it passed through the chords but did not end up where it needed to be. So when we bagged her, each time we could see her face swell up a little more. We pulled the tube out, and just used an OPA and BVM. But while one of us was bagging her, the other had to hold her trach site closed so air didn't leak out.