Seeing patients as people

Letting Patients Tell Their Stories – The New York Times

A well written reminder.  As you know – faculty have started to work up in the “PIT”.  While you may hear us moan and groan about it, a sure positive is getting to see people as they walk into the ED.  Often, we only see patients when they are laying down, mostly naked, stripped of their dignity and asked a ton of questions about their personal life, choices, and what caused them to end up where they are at this very second.  Seeing them come in with street clothes on, limping in aided by family or alone and confused is a good reminder that they are more than just a patient, but also a person, with stories and lives outside our tiny rooms.

 

Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest

The trial was just published today in the NEJM and authored by the Resuscitation Outcomes Consortium Investigators (including our own chair Dr. Ornato).

In short there was no difference in survival or neurologically intact outcome between amiodarone, lidocaine, and placebo for refractory ventricular fibrillation or pulseless ventricular tachycardia.

However, this may not argue against antiarrhythmics in cardiac arrest as there was no increase in adverse events in the experimental groups either and there was an increase in ROSC in the antiarrhythmic groups.