In All My Career…Stories from the ED





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An example of lack of communication with the patient:

As usual the ER was full. The bed closest to my desk was undergoing thrombolysis for an acute MI. His nurse calls out V-tach! I run over to the bed and adminstered a good hard chest thump which converts him to sinus rhythm, ordered lidocaine and told the nurse to get him to the ICU immediately before he developed any more problems.

As he was going out the door, he asked the nurse “Why did the doctor hit me?”

James Meade, MD, FACEP

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