Recent content by MonkeyArrow

Uh, the flu vaccine? It doesn't fully prevent infection, transmission, or death, and is likely far less effective than the Pfizer/Moderna vaccines at each of those things.

I'll start. Let me get my zebra in: Takutsubo's cardiomyopathy (even though the pt. doesn't really meet the epidemiological risk factors). Any workup 5.5 years ago to figure out what caused the PEs? Is he on anticoagulation?

Right, but then OP mentions pushing etomidate...

What do you mean by this? You have sedatives but no paralytics?

I agree. However, for the engineering controls to work as designed, they must not be intentionally ignored. I would be a lot more sympathetic if this were an emergent situation, with verbal orders and a time-sensitive need for the medication. This was not. A couple of things here. The override...

This should probably be kept in the domain of licensure and civil damages. However, I do find many in the healthcare community are trying to shift all blame onto the “system”. I find that a very troubling trend; where is the personal accountability and responsibility? People keep saying this is...

I am unsure how this relates to the points I've raised in this thread, but against my better judgement, I'll take the bait. Good. That is exactly how I wish to come across. I interpret your description of my posting as a complement. I try to learn and practice based on the best science and...

No, I did not (nor do I currently) work for you. I do like the word peri-arrest. I keep using it here because it nicely encapsulates the precise clinical scenario that I am referring to and that is at the crux of this scenario.

Again, where did I say that "nurses shouldn't do anything before the doc sees the patient"? I have been very clear and very particular with the claims I have made in this thread. Your "oversimplification" is wrong. I never commented on anything beyond what should happen with a critically...

Ah, so the story unravels. Those three patients are not the same level of "critical". The principle I will again espouse is that the physician must attend to the sickest patient in the department first, at least until stabilization has begun. Let me remind you, that this all started when I said...

Where did I say this?

It's ironic that you think my personal experiences are worth less than yours, but ignoring that. Let's approach this from a different perspective. National data shows that there are between 300,000 and 400,000 out of hospital cardiac arrests annually in the U.S. I chose cardiac arrest because...

You are completely correct that I am unconvinced the situation that you describe is happening regularly. I am not saying that it cannot happen; of course it can, but that is the unusual exception to the rule, not routine. Fundamentally, the question I propose you ask is: who is the sickest...