Other night, two dudes were rather unceremoniously dumped on our ambulance ramp. They were, reportedly, not breathing very effectively, thought to be due to ingestion of some substance or another.
Dude who ‘dropped off’ his fellows walked into the ER waiting room, went to the vending machines, got a snack, and left. Didn’t talk to anyone.
With friends like these…
Dr. Jon LaPook takes a trip as a pseudo-patient to Columbia Presbyterian Medical Center’s Emergency Department. See part 1 of the adventure here.
**This video was originally published at www.cbsdoc.com**
Would you know what to do if you needed an ambulance or if you had to go to an emergency room? During 2005, an estimated 115 million visits were made to emergency rooms in the United States – up 31 percent from 1995. About 14 percent of patients arrive via ambulance. Emergency rooms across America are overloaded – partly because many of the almost 50 million uninsured use the emergency room as their primary physician (and partly because we tend to focus on treatment of illness rather than prevention – but that’s another blog post).
During the next two segments, I will take you way behind the scenes and give you tips on how to be prepared in case the unexpected happens and you end up on your way to an emergency room. This week I play the part of a patient with chest pain and take you inside a New York City ambulance with paramedics Ray Cordi and Hanan Cohen. Next week my colleague, Richard Schlesinger, and I continue your tour inside the emergency room at New York Presbyterian Hospital/Columbia University Medical Center, the first time this institution (where I am on staff) has ever allowed such inside access to the media.
**This blog post was first published at CBSDOC.COM**
I’ve never cooked lobsters but was reminded of the trick to the recipe today: if you try to put lobsters into boiling water you’ll have a big fight and it won’t go well, but put them in cool water and slowly turn up the heat, by the time they realize there’s a problem they’re cooked.
I thought about this while turning sideways between gurneys in the hall to get through to the next patient of many.
The temperature in my ED continues to climb, but I’ve been here so long it just seems like it’s getting a little warm.
ED’s everywhere have rising census, increasing demands, physical plants that aren’t keeping up with the crush.
Coal mines have canaries. Medicine has lobsters.
It’s getting warm, but there’s plenty of time.
Right?
This is one of the saddest stories I’ve read in a while. H/t to GruntDoc.
Dr. Michael Sanchez, who in a few months as director of University Hospital’s busy emergency department slashed waiting times and reduced the number of patients turned away because of overcrowding, was struck and killed while jogging Sunday afternoon.
His own emergency department colleagues tried to save Sanchez without recognizing him because of the extent of his injuries. Only after he was pronounced dead did they learn it was Sanchez, hospital staff said.
…
Police said Sanchez was struck in the 11600 block of Bandera Road about 1:40 p.m. Sunday. The driver told police he was on his way to get the brakes on his SUV fixed when his cell phone rang. As he answered it, he said he spotted Sanchez on the side.
According to a police report, Smith said he hit the brakes and the car swerved onto the shoulder, striking Sanchez and sending him onto the hood of the car.
A witness said the driver swerved across two lanes before striking the victim. Police said no charges have been filed.
…
Rufe said Sanchez had so much enthusiasm and energy for the job, it made some of his colleagues skeptical about him. But it was that drive that allowed him to push the department beyond the way things had traditionally been done.
“He was telling me one day, ‘I love my job. I love what I do. I love my family. We have a wonderful home. I can’t ask for anything else. And now the possibility of a residency program. I’m just a fortunate person,’” Rufe said.
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