Overall, this segment is important, and I have not heard people talk about this in this detail, so super job Scott and Swami. After years of practise, and sometimes alone with zero other MDs around and a full ED, you have to make pragmatic choices, and we have to be careful about overemphasizing the experiences of well-resourced EDs.
-an MD is ideal, but not a must for all patients. I've taken many patients to the CT, but sometimes an RN (+\- RT) who knows to overhead call for me STAT is needed and is possible. I've not had bad outcomes with selective MD attendance in the CT. -I have never in my 22 years in ED insisted on an art-line before going to the ED and never had a bad outcome where I wished I had one in place. -I have never with a critically ill patient, taken a "pause" in CT to manage the patient. We go, I'm selectively there, we get the job done, and then back to the acute monitored bed.
I just wanted to balance out some of the comments based on my experience but Scott and Swami's pearls I respect. Overall, this segment is fantastic. Thank you. Raghu
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Raghu V. - March 24, 2023 12:11 PM
Overall, this segment is important, and I have not heard people talk about this in this detail, so super job Scott and Swami. After years of practise, and sometimes alone with zero other MDs around and a full ED, you have to make pragmatic choices, and we have to be careful about overemphasizing the experiences of well-resourced EDs.
-an MD is ideal, but not a must for all patients. I've taken many patients to the CT, but sometimes an RN (+\- RT) who knows to overhead call for me STAT is needed and is possible. I've not had bad outcomes with selective MD attendance in the CT.
-I have never in my 22 years in ED insisted on an art-line before going to the ED and never had a bad outcome where I wished I had one in place.
-I have never with a critically ill patient, taken a "pause" in CT to manage the patient. We go, I'm selectively there, we get the job done, and then back to the acute monitored bed.
I just wanted to balance out some of the comments based on my experience but Scott and Swami's pearls I respect. Overall, this segment is fantastic. Thank you. Raghu