Can we just try this?

I’d like to take a brief moment to propose a new standard of health care. If you are a patient in a nursing home, and you code between the hours of 5 and 6 am, I would like to make it an official rule that you have to be seen by the nursing home doctor before being transported to the ED.  Because really, if you are found down at 530 am, lets be honest, you’ve been down since the 10pm bed check. And those medics that have responded to your call, are doing the exact same thing we’re going to be doing here in the ED before we call the code. Let’s let the home doctor have the privilege of making the final call and saving the time, expense and effort of transporting a person in rigor mortis to the ED.

Okay, I realize I may sound a little bitter here, but at the end of a 12 hour overnight, when you’re feeling a bit like Scarface coming off a week of blow (Ie, your 3 cans of Redbull are wearing off) the LAST thing you want to hear is the haste going off with a code blue in route from the local nursing home. Just sayin’

About ER Jedi

I’m a resident doctor in Emergency Medicine and I’ve learned during the past few years that 1) I’ve had some pretty amazing experiences 2) I have a very bad short-term memory. So this blog is just a place for me to write about some of these experiences, from the ER, medical school, the wards and life in general. At least that way I’ll have some idea as to where I’ve been all this time. A scrap-book of sorts, a place to vent, organize some clinical tools and post a few good songs I’ve heard along the way.

Posted on September 27, 2012, in Emergency Medicine. Bookmark the permalink. 2 Comments.

  1. Or just let EMS call it and save everybody the trouble. We’ve been terminating resuscitation in the field on standing orders for a few years at least…plus only people who start with a pulse make it into the trucks now! This really cuts down on unnecessary transports of dead bodies.

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