White Coat, Black Art

Virtual doctors for real ERs

17 snips
Jan 10, 2025
Dr. Mike Ertle and Dr. Lindsay Dobson shed light on the innovative use of virtual emergency room services in rural British Columbia. They discuss the unique challenges posed by staffing shortages and the transformative role of telemedicine in providing care. Listeners will find fascinating insights into real-life cases, particularly how virtual consultations can manage critical situations like heart attacks. The conversation also touches on patient reactions and the balance needed between remote and in-person care, revealing both the potential and pitfalls of this evolving healthcare model.
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ANECDOTE

Virtual Huddle in Mackenzie

  • Mackenzie, B.C.'s hospital is short-staffed and often on diversion, sending patients two hours south to Prince George.
  • During one night shift, the ER was nearly full, with one patient in restraints, prompting a potential diversion.
ANECDOTE

Patient Handover

  • Dr. Dobson describes the four patients in the ER: one in restraints, one with A-fib, one with high potassium, and one with possible appendicitis.
  • She discusses treatment plans and concerns with Dr. Ertl during the virtual handover.
ANECDOTE

VERA's Impact

  • Dr. Dobson explains how VERA coverage reduces her workload and stress, especially on Wednesdays.
  • She highlights the program's importance for small communities facing staff shortages and frequent diversions.
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