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> Presumably the patient just dies in that scenario that you are supposedly qualified and prepared for? Yeah, can happen. That doesn't mean you did something w

by rscho 1y ago

> Presumably the patient just dies in that scenario that you are supposedly qualified and prepared for? Yeah, can happen. That doesn't mean you did something wrong. Sometimes (very rarely), shit happens even though you've planned it all according to guidelines. What he's saying is that when shit hits the fan, he's really grateful if someone's there to assist with basic moves while he's trying to control the more pressing matters. I can relate.

vonneumannstan 1y ago
To me it reads like anesthesia in the MRI shouldn't be allowed or needs better supervision. >he's really grateful if someone's there to assist with basic moves while he's trying to control the more pressing matters. I think they were saying theres literally no one there to help. >Yeah, can happen. That doesn't mean you did something wrong. Sometimes (very rarely), shit happens even though you've planned it all according to guidelines. Emblematic of the broken US healthcare system. The guideline creates an easily preventable scenario where the patient is highly likely to die for no real reason.
- rscho 1y ago
  > To me it reads like anesthesia in the MRI shouldn't be allowed or needs better supervision. It must certainly be allowed, as it greatly benefits some patients. Believe me, I'd be most happy if I was forbidden to enter MRI rooms. > I think they were saying theres literally no one there to help. This might happen quite infrequently, and usually just for a very short time. Problem is that others have their own jobs to do, and sometimes you get unlucky at just the worst time. It's certainly not common that no one's there, and theres almost always someone near. But since you can't leave the patient, it might be that you have to yell for 20-30s before someone notices you're in trouble. > Emblematic of the broken US healthcare system. The guideline creates an easily preventable scenario where the patient is highly likely to die for no real reason. I'm not currently practicing in the US. I don't think that's a fair assessment. Guidelines are born in patient blood, and although adaptation is a must deviating from guidelines still remains a bad idea most of the time.
  - s__s 1y ago
    > It must certainly be allowed, as it greatly benefits some patients. Is this for patients that can’t stay calm? It seems to me there would be plenty of far safer ways to sedate them. Example: some Xanax
    - rscho 1y ago
      many situations: mental illness, transport from ICU, exam during surgery, etc. So no, Xanax isn't enough.
- exe34 1y ago
  > the patient is highly likely to die for no real reason Hey now, there's a very good reason for this. The rich people who own the medical insurance company need their third yacht.

by rscho 1y ago

vonneumannstan 1y ago

To me it reads like anesthesia in the MRI shouldn't be allowed or needs better supervision. >he's really grateful if someone's there to assist with basic moves while he's trying to control the more pressing matters. I think they were saying theres literally no one there to help. >Yeah, can happen. That doesn't mean you did something wrong. Sometimes (very rarely), shit happens even though you've planned it all according to guidelines. Emblematic of the broken US healthcare system. The guideline creates an easily preventable scenario where the patient is highly likely to die for no real reason.

rscho 1y ago
> To me it reads like anesthesia in the MRI shouldn't be allowed or needs better supervision. It must certainly be allowed, as it greatly benefits some patients. Believe me, I'd be most happy if I was forbidden to enter MRI rooms. > I think they were saying theres literally no one there to help. This might happen quite infrequently, and usually just for a very short time. Problem is that others have their own jobs to do, and sometimes you get unlucky at just the worst time. It's certainly not common that no one's there, and theres almost always someone near. But since you can't leave the patient, it might be that you have to yell for 20-30s before someone notices you're in trouble. > Emblematic of the broken US healthcare system. The guideline creates an easily preventable scenario where the patient is highly likely to die for no real reason. I'm not currently practicing in the US. I don't think that's a fair assessment. Guidelines are born in patient blood, and although adaptation is a must deviating from guidelines still remains a bad idea most of the time.
- s__s 1y ago
  > It must certainly be allowed, as it greatly benefits some patients. Is this for patients that can’t stay calm? It seems to me there would be plenty of far safer ways to sedate them. Example: some Xanax
  - rscho 1y ago
    many situations: mental illness, transport from ICU, exam during surgery, etc. So no, Xanax isn't enough.
exe34 1y ago
> the patient is highly likely to die for no real reason Hey now, there's a very good reason for this. The rich people who own the medical insurance company need their third yacht.