Red Checkered Tablecloth And Wine

medical arrogance (the example of a CIRS-case)

yes I read from time to time this page. 'm Iregdnwann times pushed on it and find the CIRS approach to be very good.

Now here However, an incident described, which is about reading in simple paramedic German way:

"patient, early 50s, was hyperventilating (which he knows well), after re-breathing all right, doctor on call should be canceled since. the ambulance but just received, he is looking at the patient, finds nothing and continue as it can. Afternoon is the patient to their GP, where he collapsed with a manifest heart attack and died "

clear, very stupid thing something of course you wonder now whether they were in the morning on rescue perhaps overlooked something Again looked up quickly... AHA! An ECG was not in the morning derived, the patient was "borderline tachycard" have been otherwise everything "in the normal range, but precise figures are not known

My RettAss feeling tells me... perhaps one would have in the morning found that the patients in the hospital and brought him saved his life. maybe not. You do not know. But the fact is: if I already let a patient at home, I make the all-round check thoroughly (and documented thoroughly).

And now? Now go after one of the CIRS narrative three commentators on the incident, and all three of them rush to the first question if should cancel a paramedic for an ambulance at all. (Or should it not be) And all three come to the conclusion that a RettAss the emergency physician should * NOT * cancel.

The rationale ("After all, there is a treatment contract with the emergency physician as soon as it was called.") I think that in itself is questionable, but no matter whether the it should be or not, in the case described the emergency physician's just not been canceled * * but has looked at the patients themselves. Still has not been studied to the end (and thus possibly missed something important).

The contribution in the CIRS is therefore once again one of these prime examples of medical arrogance and ignorance of the emergency services personnel. Instead of the negligence of his own colleagues to highlight as clearly as a question is discussed, which is irrelevant in this particular case (because not just any) and even in the face of a clear statement ("The NA decides to look at the patient anyway") as done when one does not know so, whether the emergency physician to the patient would have looked at.

Disgusting.