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Pastimes : Don't Ask Rambi -- Ignore unavailable to you. Want to Upgrade?

To: Jacques Chitte who wrote (25286)	5/21/1999 11:44:00 PM
From: Ilaine	Read Replies (1) \| Respond to of 71178

It's easy for me to imagine the staff signing off on the doctor's orders. It happens all the time. The doctor is the captain of the ship and he/she is the one who is liable for errors in judgment. It's doubtful that the hospital staff would have countermanded or doublechecked the doctor's orders. If you don't know that already, it's time you learned. The pecking order is clear, and woe betide those who don't conform. They can quit, but they can't fight the tide in a bad situation. Interpretation of an EKG is not something for staff to do, unless you mean an ER doc. Cardiologists are much more adept, unfortunately so many of them are @holes.

To: Jacques Chitte who wrote (25286)	5/22/1999 7:40:00 AM
From: nihil	Read Replies (1) \| Respond to of 71178

Emergency care for suspected MI is of critical importance. The first thing for everyone is have a thorough cardiac examination before any attack occurs. First heart attacks can be prevented in many cases (~40%) by a daily aspirin and metoprolol. I am told most physicians take a daily aspirin, and that a daily metoprolol has been considered for everyone but appears not to be cost effective (that's socially cost effective, it may be cost effective for you). Heart pains (angina -- its like a anvil on your chest and left arm) call for a EKG and blood tests for tissue injury (elevated CK-MB), aspirin, IV heparin, morphine, nitroglycerin, oxygen, and on evidence of MI a clot buster (in the first few hours, very expensive and has some risk). It is critically important to get to a well-equipped cardiac care unit emergency center (the ambulance crew has defibrillators and will take you to the right place). A substantial proportion of first heart attacks are fatal and many are impossible to predict. Don't see your doctor -- get to a CCU!