What we really need to teach our trainees!

hand-and-pen-blog

Richard Innes considers some of the more stressful decisions critical care consultants have to take and laments the lack of training in these areas.

When was the last time you sat with colleagues worried about how to treat someone with septic shock or ARDS?

A long time ago I suspect.

Much more likely they will be stressed about managing beds: who should have a bed, who should be discharged to let the next patient in,what to do about the patients waiting in recovery or ED who urgently, or not so urgently, needs a critical care  bed? The latter may require you to be pragmatic and  decide that a patient can be  managed outside of ICU as beds are short. If this is the case then you shoulder some, or all, of the responsibility should the patient deteriorate.  After all, you said they were OK to go!

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