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25-02-2006 03:29
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Somebody in white coat was performing CPR. Doctors constantly kept asking for Epinephrine, Atropine, and Bicarbonate. K. followed the requests and kept passing the pre-filled syringes. Everybody kept asking the same question: “Whose patient is it? Who is supposed to cross-cover this patient?” One of the doctors came out of the room telling the nurse to call the surgery. Somebody else said that a surgeon was already in the room. Someone else said that the attending physician should be paged, but the nurse couldn’t figure out who it was. From the fragments of phrases here and there we were able to understand that the patient was in cardiopulmonary arrest, yet nobody had a clue what his medical history was. I looked at my watch. It had been going on for more than 10 minutes now, but no vital signs could be recorded. For some reason I remembered Dr. L. telling a story about how, when he worked on a medication reconciliation project, he and his college used to joke that we should have a note saying “enter at your own risk” at the entrance into every hospital. Two doctors came out of the room and sat at the desk near which we were standing. One of them looked at us, our badges, and said with a smile on his face: “Aren’t you happy that you went into P. school? I wish I had.” I smiled back. Somewhere around 15 minutes had passed but resuscitation attempts had not ceased. I glanced into the room. I saw the patient’s legs trembling as if he was having seizures. In a second I realized that it was due to the compressions that somebody was performing on his chest. I stepped a little bit forward in order to be able to see his face. He had a tube in his mouth and his eyes were open. After some time, more people started leaving the room, and eventually a lady came out and said that nobody was supposed to leave until she got everybody’s name, including the pharmacy. Then, we realized that it was over. I feel like so much had happened during that half an hour or so, but at the same time it felt like an instant. The next thing I remember is us leaving the ICU. We passed by a girl of about 13 and a crying lady. I don’t know why she was crying, since I’m pretty sure that our patient was not a relative of theirs.
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