Emergency Medicine - It's Time to Stop Skirting

i have seen very, very poor rates of adequate sedation being administered to these patients. And i think we're just too blase about this, and it's got to stop. In emergency medicine, there is a vast divide betweena high level shops and low level shops. There are community shops right now doing e d ecmo at the highest level of anywhere in the country. So let's stop the crap. All right? You know who you are,. where you go in to shift, and they're 25 years behind cutting edge care at those places, and we consider that acceptable. We consider the range acceptable. It's got to stops.