the 100% directionless thread

[JPINFV]

I missed the flipped T-waves on the 12-lead of a patient that ended up having an inferior STEMI. I brought them in code 1, then only gave ASA, and one NTG w/relief. Granted, it took the hospital two 12-leads to see any elevation, however, I obviously failed my patient.

Mistakes happen to everyone, even God (from a Judeo-Christian standpoint, see the story of Noah).

 

[ffemt8978]

We all make mistakes and have failures. You only truly fail when you fail to learn from it.

 

[Rettsani]

I've done something wrong here ? :unsure:

 

[fast65]

How long will it be before a failure on my part kills someone though?

 

[JPINFV]

How long will it be before a failure on my part kills someone though?

Show me a physician that hasn't harmed a patient by a mistake and I'll show you either a liar or someone who just finished medical school.

If you're going to calculate a "number needed to harm," make sure to calculate a "number needed to treat" first.

 

[abckidsmom]

I missed the flipped T-waves on the 12-lead of a patient that ended up having an inferior STEMI. I brought them in code 1, then only gave ASA, and one NTG w/relief. Granted, it took the hospital two 12-leads to see any elevation, however, I obviously failed my patient.

So what exactly would you have done differently and how would the outcome have changed if you'd noticed it?

 

[ffemt8978]

I've done something wrong here ? :unsure:

Huh?

 

[fast65]

So what exactly would you have done differently and how would the outcome have changed if you'd noticed it?

That's the thing, not really anything different. Upgraded to code 3 (big deal...) and probably given another NTG, that's it. There's not a lot more I could have done, but it still makes me feel terrible.

Dammit Joe...I suppose you're right.

 

[bigbaldguy]

How long will it be before a failure on my part kills someone though?

Everything in life is about ratios. Correct choice versus incorrect choice. You will never have, and no one will ever have, a ratio of all correct to zero wrong. It just doesn't happen, not in EMS, not in life. The best we can do is try and improve the ratio moving forward.

Don't beat yourself up, it doesn't do anyone any good.

 

[Rettsani]

Huh?

no, one talked to me.....:sad:

I get no answers.

I write something, but no one criticizes me. That preoccupied me a little and i thought i have done something wrong.... -_-

 

[abckidsmom]

That's the thing, not really anything different. Upgraded to code 3 (big deal...) and probably given another NTG, that's it. There's not a lot more I could have done, but it still makes me feel terrible.

Dammit Joe...I suppose you're right.

I went on a call last night for a guy who suspected that he had an episode of SVT while working out, he wanted me to get a 12 lead "just in case" so that he would feel better about staying home.

Uh, nothing doing buckwheat. If I can't convince you to go to the hospital on the merits of my good old fashioned non-electronic assessment, well, no. THAT's the kind of 12-lead mistake that could keep a person up at night, to miss something and leave them home to die.

KWIM?

 

[ffemt8978]

no, one talked to me.....:sad:

I get no answers.

I write something, but no one criticizes me. That preoccupied me a little and i thought i have done something wrong.... -_-

That happens sometimes. Either they miss the post, or they don't know the answer.

 

[Rettsani]

That happens sometimes. Either they miss the post, or they don't know the answer.

Ok, then I try to write more. Perhaps I have sometime luck.
I do not know why I always think that I've done something wrong. -_-

 

[ffemt8978]

As some other members here can attest, when you do something wrong here you will now about it.

 

[fast65]

I went on a call last night for a guy who suspected that he had an episode of SVT while working out, he wanted me to get a 12 lead "just in case" so that he would feel better about staying home.

Uh, nothing doing buckwheat. If I can't convince you to go to the hospital on the merits of my good old fashioned non-electronic assessment, well, no. THAT's the kind of 12-lead mistake that could keep a person up at night, to miss something and leave them home to die.

KWIM?

I suppose that makes sense. I don't know, I tend to have some sort of idea that I shouldn't make mistakes...it's bad.

"KWIM"?

 

[Rettsani]

As some other members here can attest, when you do something wrong here you will now about it.

ok, here in Germany you get a quick response. People criticize and correct everything. :unsure:

 

[abckidsmom]

I suppose that makes sense. I don't know, I tend to have some sort of idea that I shouldn't make mistakes...it's bad.

"KWIM"?

Know what I mean. Sorry. I get my forums crossed sometimes.

It is a valuable thing to kick yourself and want to correct mistakes. It's not so valuable to wallow in them. Especially mistakes that don't affect outcomes.

 

[bigbaldguy]

ok, here in Germany you get a quick response. People criticize and correct everything. :unsure:

Sounds like someone else misses USAF

Perhaps you've posted nothing to correct or criticize must be nice lol

 

[fast65]

Know what I mean. Sorry. I get my forums crossed sometimes.

It is a valuable thing to kick yourself and want to correct mistakes. It's not so valuable to wallow in them. Especially mistakes that don't affect outcomes.

But I like wallowing, I'm good at it

 

[Rettsani]

Sounds like someone else misses USAF

Have I missed something? I was longer not here, because of the shifts.

Perhaps you've posted nothing to correct or criticize must be nice lol

Thanks I hope so. Sometimes I think I'm a too worse EMT, EMT-P or whatever.... What I am really in your country ? I don"t know. What i know is that my certificate is nothing in U.S....-_-