Rural Emergency Medicine Podcast

Episode 4: Managing Multiple Patients

Nov 18, 2017
Dive into the challenges of managing multiple critical patients in rural settings with limited resources. Explore real-life scenarios highlighting teamwork and quick decision-making during emergencies. Discover insights from upcoming interviews with specialists and the importance of continuing medical education. Learn about a dramatic cardiac arrest incident and the complexities of navigating code blue situations in hospitals, emphasizing effective communication and resource management for optimal patient outcomes.
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ANECDOTE

Managing Two Critical Patients Simultaneously

  • Carl Richards described managing two critical patients arriving simultaneously with limited staff and resources overnight.
  • He efficiently triaged, delegated roles, and utilized mechanical CPR to handle both patients effectively.
ADVICE

Prepare and Delegate Beforehand

  • Prepare for multiple critical patients by calling in extra staff and support from other departments.
  • Assign specific tasks and roles quickly to optimize resource use once patients arrive.
INSIGHT

Nurses Running Codes Independently

  • Nurses trained in ACLS can competently run codes independently when needed.
  • Delegating code leadership to trained nurses frees physicians to attend to other patients or tasks.
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