Too all ER doctors out there I give you this advice:
If you have a patient that is sick and a consultant over the phone tells you a specific way to manage it that you think is completely wrong, don’t just do what they say. Especially when it is out of their field of expertise.
I had a patient nearly die because a certain private MD refused to let me perform an intervention that I thought was entirely indicated. I held out because the patient was stable at the time and I didn’t want to create an argument.
Sure enough, several hours later,while the patient was languishing in the ER waiting for a bed he coded and almost died.
I’m still beating myself up over this poor decision.