The Emergency was real, the System was not!
A few hours into the night shift, I identified a patient with refractory hypoxia despite receiving 15L/min via NRBM. I initiated an ICU referral; however, the ambulance crew ( 1 driver, 2 EMT personnel) was hesitant to transport due to the patient’s critical status. They requested a clinician escort from the ER to facilitate the transfer. I agreed to go. We are taught that the line between life…
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