From the sounds of it the majority of you have never had a "10/10" px pt. who didn't actually present as such. Must be nice. I'm a huge fan of px management, don't get me wrong, but none of us were there, we didn't see how the patient was truly presenting, and outside of the OP no one knows what type of system they were working in.
Prior to everyone jumping on the bandwagon have any of you wondered if perhaps this was a rural area with limited resources? Judging how the only ED access was by ferry I'm gonna guess it was. So you have a pt. presenting with HTN (has not taken meds) and px similar to prior event of cholitis, are you going to potentially take the ONLY ALS unit out of service for this patient? We don't all have unlimited resources and mutual aid agreements. Before you start flipping out about the worst care ever etc., how about you consider other possibilities.
Prior to everyone jumping on the bandwagon have any of you wondered if perhaps this was a rural area with limited resources? Judging how the only ED access was by ferry I'm gonna guess it was. So you have a pt. presenting with HTN (has not taken meds) and px similar to prior event of cholitis, are you going to potentially take the ONLY ALS unit out of service for this patient? We don't all have unlimited resources and mutual aid agreements. Before you start flipping out about the worst care ever etc., how about you consider other possibilities.