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Title : Why you should never go to the hospital in July
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Why you should never go to the hospital in July

A study 2011 published by the journal of General Internal Medicine reported an 10% increase in teaching hospital deaths during the month of July due to medical errors. We call this peak "July Effect" and chalked it up to the influx of new interns and residents.

Generally, medical students graduate in June and begin their first year of residency training - practice - in July. This group of new interns invades the hospital eager to learn, treat patients and make medical decisions. One problem: They do not know what they are doing

Like most inmates, I arrived with four years of medical school under my belt, a doctor after my name and virtually no practical knowledge. medicine. Despite wearing the white coat of a doctor, I had pockets full of medical manuals condensates call our "peripheral brains" to compensate for the lack of knowledge that took place in my real brain. Thank God for these manuals. Otherwise it would have been part of "Effect of July."

My first night guard. Way toward a dimly lit hall call my camera, the unique sound of beeping of a heart monitor. Suddenly, a loud siren sounds above. A nurse rushes out of the room right in front of me.

"calling a code ! " Shouts to a secretary. The nurse looks at me and asks: "You are a resident, I really need you run this code?"

I look left, right and behind me.

Gulp. She speaks to me.

"OK," I say, hoping that has not been realized my voice jumped an octave.

The truth is that just finished orientation, which includes a course of advanced cardiac life support, but I have not spent one minute to check the manual. Confession:. I do not feel all that confident

I ran to the nurse in the patient's room. I see the heart monitor that the patient is in ventricular fibrillation, the heart rate immediately preceding death. Squeezing an oxygen mask, a nurse is above the patient's head. A second nurse runs drugs in IV.

"What should we do, doctor?"

My mind goes blank. I have absolutely no idea.

out my "peripheral brain," return to the section "ventricular fibrillation." A ha! He received treatment. Cardioversion, commonly called electric shock.

[For cardioversion, I'm using a general term for a heart to restore proper rhythm.]

"Get me the paddles!" I mean, his voice rising.

The nurse takes her by the blades in my hands and adjusts power to the appropriate level.

"Sure!" I cry, and place paddles on the patient's chest.

"Stop!" Grita nurse.

She holds hands and moves the paddles to a different place in the patient's chest.

One more second and it would have surprised her liver.

"Sure!" Cry again, and press the button defibrillation.

The patient pulls slightly, and for a moment, the heart monitor goes crazy. Then it stops completely. We were still, staring at the screen for what seems like minutes, waiting for his new heart rate.

beep ... beep ... beep.

Normal.

He has saved.

let me out a sigh of relief.

Within seconds, several residents enter the room and take over from me. Gladly step aside. Again I call my camera, so euphoric that I saved the life of a patient and going crazy I almost made a mistake that would have cost. I've learned my lesson. Saco my heart and study book covers from start to finish until dawn.

Everyone - even doctors, especially doctors - have to learn and train in order to become proficient. Internal start as rookies, no veterans. The experience takes time.

So if you have to go to a hospital in July, the treatment of new inmates with patience and respect.

Then ask your nurse to make sure they know what they are doing.

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