Sara… I have heard a great many lectures. This is certainly one of the finest i have ever witnessed. You discussed so many extraordinary points… all so very true. I am far from the “expert “ you describe, or the team leader. But I’m not done trying.
An example of “owning the patient”, I think: the stroke patient. You can easily blame a hundred causes for why the tPA or embolectomy was delayed , with 1.9 million brain cells lost with each minute of delay: labs, CT, CTA wasn’t “wet read”, CTA wasn’t done immediately (no IV), transport, mixing meds, Cerner … but if you “own” the patient (i say “pretend the patient is your mother, or sister, or child”), and follow the patient to CT, read the CT yourself, call everyone who needs to be called (especially if the required steps are held up), be there in the room with tele-neuro, and more, then i think there’s a better outcome. “own” the patient. But this is true of all patients.
I must say you “orchestrated “ this lecture magnificently.. it “flowed”; and the “performance” of the lecturer, you, was wondrous. You should watch it if you haven’t.
There’s more i can say, but will not. Only, thanks for this lecture. Very cool.
tom f. - February 20, 2022 1:58 AM
Sara…
I have heard a great many lectures. This is certainly one of the finest i have ever witnessed.
You discussed so many extraordinary points… all so very true. I am far from the “expert “ you describe, or the team leader. But I’m not done trying.
An example of “owning the patient”, I think: the stroke patient.
You can easily blame a hundred causes for why the tPA or embolectomy was delayed , with 1.9 million brain cells lost with each minute of delay: labs, CT, CTA wasn’t “wet read”, CTA wasn’t done immediately (no IV), transport, mixing meds, Cerner … but if you “own” the patient (i say “pretend the patient is your mother, or sister, or child”), and follow the patient to CT, read the CT yourself, call everyone who needs to be called (especially if the required steps are held up), be there in the room with tele-neuro, and more, then i think there’s a better outcome. “own” the patient.
But this is true of all patients.
I must say you “orchestrated “ this lecture magnificently.. it “flowed”; and the “performance” of the lecturer, you, was wondrous. You should watch it if you haven’t.
There’s more i can say, but will not. Only, thanks for this lecture. Very cool.
tom fiero, ED doc, Merced, ca.
Sara Crager - February 26, 2022 2:50 AM
Tom, thanks so much for your comment. Totally made my day :)