Tuesday, January 24, 2017

MARCO Grand Rounds for January 29, 2017

From Warren KD4GUA:

A TRUE DILEMMA--brought on by RSV
      You are a physician and one night at about 1 a.m. you are gasping for BREATH with a low grade fever--you dress and are driven to the ER where you are treated with bronchodilators, epinephrine, corticosteroids, hypertonic saline and antibiotics along with respiratory therapy. You are diagnosed as having RSV (Respiratory Syncytial  Virus bronchiolitis. 
     Your neighbor's 18 month old child has caught the same virus and is rushed to the ER where he is admitted to ICU.  He is treated with supportive therapy, fluids, i.v. nutrition ONLY--the child wavers between life and death and finally recovers.  Comparing notes the neighbor family is very upset as we find the child's hospital treatment has followed the new guidelines and was treated with only supportive therapy....what if the young child had died and you  were the child's physician...would these different "guidelines" hold up in court or in your conscience?  TUNE IN SUNDAY AND FIND OUT.

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