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re: My EEEE ARE story. Asking for the MDs and ER RNs thoughts.

Posted on 10/14/22 at 3:02 am to
Posted by DMAN1968
Member since Apr 2019
13229 posts
Posted on 10/14/22 at 3:02 am to
quote:

This is a freestanding ER

You are a functional ER...you should be able to handle coding someone until you stabilize them to move or nature takes it's course. What can 911 do that you couldn't?

You don't load a person in cardiac arrest into an ambulance to go from one ER to another while coding them.
quote:

got her back once very briefly

This means not stabile enough to transfer.

Was the doctor actually there?
Posted by DMAN1968
Member since Apr 2019
13229 posts
Posted on 10/14/22 at 3:06 am to
quote:

And it also just seems strange that an ER would call 911


Ding! Ding! Ding!

If there is an ER out there that calls 911 for a cardiac arrest inside tell me where it is...I don't want to go anywhere near that one.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27780 posts
Posted on 10/14/22 at 5:56 am to
quote:

You did wrong because you admitted the ED could not handle what it is billed as



IMO you hit the nail on the head. This was always about optics. Which when you are in it you give 2 shits about.

The question was asked what can another ER provide? Yes we are a “stand alone” so….

A. Surgery.
B. Cath lab.
C. Interventional Radiology.
D. All other consultants. No other MD is going out there. And without their equipment on hand why would they.
E. People. Running a code properly requires people. Probably 8. We had 3.

Sadly moving forward we just began calling codes. Easier to fill out a death packet than deal with the fallout. Thankfully I had no pediatric codes. I’d have lost my job. Because frick optics.
Posted by CrimsonTideMD
Member since Dec 2010
7115 posts
Posted on 10/14/22 at 8:29 am to
quote:

I think she is saying that if they can’t handle a patient collapsing in an emergency situation why are they called an emergency room?



You are aware that small community hospital ERs transfer patients to tertiary care centers every single day, right? Because they don't have the equipment, specialist, etc to adequately treat the patient.









Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27780 posts
Posted on 10/14/22 at 10:00 am to
This. And where we are is fairly rural.

I know I did right by the patient. frick what the “O’s” thought.
Posted by riverdiver
Summerville SC
Member since May 2022
2984 posts
Posted on 10/14/22 at 10:51 am to
quote:

Family with her suggested MI by story. That's the theory we ran with.


Y’all went on a family suggestion?

What did her 12 lead EKG show?
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27780 posts
Posted on 10/14/22 at 12:07 pm to
quote:

What did her 12 lead EKG show?



A dying heart. PEA, Agonal, VFib, Asystole, brief period of Brady.
Posted by riverdiver
Summerville SC
Member since May 2022
2984 posts
Posted on 10/14/22 at 2:22 pm to
Probably should’ve just called the code and pronounced instead of dialing 911.

She could’ve had a MI, ruptured AAA, tension pneumo, pulmonary embolus, or a head bleed at the minimum.

Free standing ER’s are usually glorified Urgent Cares. Nothing wrong with that, there’s a need for them, but the general public doesn’t realize that for the most part they aren’t staffed and equipped like an ER at a large medical facility.

Sucks for you to be stuck in that situation, with a patient whose problems were overstretching the staff and facility capabilities. Not a good situation to be in, between a rock and a hard place.
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