Today, after rounds, while writing notes, one of our discussions centered around advanced directives ... our own individual advanced directives. As a teaching exercise, I asked one of our residents to bring his advanced directives in order to read the exact language he would use to describe what he wants done in the event of a cervical spine injury with quadriplegia. It's easy to talk about, but not that easy to do. To get the exact language ... the language that will tell providers and especially exactly what you want done under all circumstances. Try it ...
Dr. Mike
To be continued ...
We also talked about:
ReplyDelete1. CNS Protection Strategies
2. Sodium content of table salt and practical use of table salt to correct low serum sodium levels & to increase serum sodium levels for therapeutic purposes
3. Clinical indicators of euvolemia
4. Routine chest X - Rays ... or not for ICU patients
5. Digitalis for rate control in Atrial Fibrillation
6. Mobilization of critically ill patients in the ICU
7. Need for postural drainage in patients with marginal mechanics of ventilation
8. Use of diazepam for treatment of alcohol withdrawal syndrome and agitation
9. Reasons for respiratory failure in cervical spinal cord injury
10. More ...
To be Continued ...
Short night ... 4AM call from intern about new admissions. Have a meeting at 6:45 AM - before rounds, if I can get to it.
ReplyDeleteTo be continued ...
Meeting is done ...
ReplyDeleteOther discussion yesterday included
1. radiation dose from CT scans as compared to plain x-rays.
2. Use of cooling catheters
Let's see what today brings.
Dr. Mike