Reply to Measles Outbreak

Forum Index » Political Discussion

Reply to "Measles Outbreak "

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous]
^^The process of transfer requires finding an open bed and an accepting provider who agrees escalation of care is warranted. How were they supposed to make that case to 1) take a slot other children might need, and 2) justify to insurance to cover transfer without established medical need, and 3) justify to transport teams -- who have limited spots, and must triage transport slots -- to put him in the queue, which is always busy?

That's how this works. You can't just say, "hey, there is this irritable kid here with measles (by the way, they are all irritable), but there was no indication of inflammation in the spinal fluid, and his MRI doesn't show brain tissue or meninges affected yet, but, you know, let's put him in the PICU, eh? Let's do a transport, which comes with significant risks just on its own, for every kid with measles. That's not going to make anything worse for the kids waiting for transport with -- I don't know, head injuries or internal bleeding from motor vehicle crashes, or the neonates on the clock needing exchange transfusion to prevent kernicterus, or the four-year-old with ALL and a white count over 100,000 just waiting to go into tumor lysis syndrome, or a dozen other sicker kids. No, THIS one with the normal LP and MRI, who is walking and drinking water, yeah, he should get that slot."

On what grounds again, exactly? Make the case. Those doctors sure would have had to do so. [/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics