Tuesday, October 21

Pull Plug

I have never resuscitated (successfully) even 1 patient before.

How sad.

What sadder is when an MO pull plug just to convince himself and the family members that 'Look, guys... we've done our part in resuscitating your wife... she's dead now as evidenced by the fake asystole picture on the cardiac monitor.'

Why cheat in clinical practice? Why? I do not understand. I was part of the team as well today and I feel utterly dismayed and embarrassed.

This act, in my opinion, is only meant for those who are not confident in their clinical judgement, those who have no balls whatsoever to tell the family members the truth even if patient was unsalvagable... why not 'Look, guys, we've done the best we could in the past 30 mins or so... and the patient is in PEA (pulseless electrical activity), most probably due to the drugs that we've given in the process of resuscitating... and bla bla bla...'

Why did he have to make such terrible decision of pulling plug and worse, print out the asystole ECG picture to show the family members so as to convince them she's dead?

I have not much experience. May someone enlighten me? Please.

8 comments:

YY Ong LTR! said...

jing, last time Prof emiritus A Delikan used to say..

dun say Pull the Plug..

Shud say... disconnect the patient from the machine...ha

Jing said...

haha, that's a totally different scenario. that's icu setting to diagnose brain death. oh wells, i am still confused.

Zzzyun said...

im not sure as well.. but maybe thats the only way the dr can convince the family members she's dead? coz they all prob only know abt the asystole picture which are shown alot in shows..

Jing said...

yeah, mayb mayb... is it for the best of the patient (dead)?

Anonymous said...

Hey jing, suni here..

It's not for the best of the patient to be dead. The MO just want to make things simpler.

cant make more comment.as i even worst not experiences much. Anyway,thanks for sharing this;)

Do cheers,jing tze. cheers!!everything happens around can be apply to us in the future.

Jing said...

thanks for dropping by and leaving comments =)

how's life?

Anonymous said...

life is undescribable.i'm learning all the way.

so far,okay la.i miss u guys a lot;)

dont forget me

-suni-

Jing said...

haha... good good... keep it up there!!!


cheers!