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Remote Emergency Rooms

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#1 golden_valley

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Posted 17 November 2019 - 02:56 PM

Rural communities that have no ER doctors are turning to docs that are well equipped with cameras but who are in an office park somewhere. The pressure on PAs and nurses in the communities must be intense. The intubations being performed under a remote doctors guidance struck me as particularly terrifying.


During his own bedside shifts at the hospital in Sioux Falls, a city of 180,000, Skow had performed dozens of similar intubations under what he had come to think of as the standard conditions of an urban trauma center. He usually had another emergency physician nearby to provide backup, plus a trauma surgeon, a cardiologist, an anesthesiologist, and a team of up to 20 residents, ER nurses, and paramedics competing for space at the patient’s bedside. But now on the screen in rural Montana, Skow counted a total of five people in the room. None were doctors. None had significant experience performing emergency intubations.

Still it's better than trying to transport patients to actual ERs miles and miles away...I guess.

#2 Practical Girl

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Posted 21 November 2019 - 12:36 PM

"Better than nothing" is the standard fast on us now. Wonderful...
Every woman needs a blowtorch.
---Julia Child

--- On September 17, 1787, as Benjamin Franklin was leaving the deliberations of the Constitutional Convention, at Independence Hall, in Philadelphia, a woman called out to him, saying, “Well, Doctor, what have we got, a republic or a monarchy?”
“A republic,” Franklin said, “if you can keep it.”

--- LFC, on Gorsuch ruling: "Awesome. A Christianist who swore an oath to uphold the laws of the nation and bore false witness when he did it"

--- "Write hard and clear about what hurts"
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