we manually resuscitate especially at the ER and wards (and its not only me sad nagpump oi, puli puli mi sa mga co-interns) but i noticed we only used the defibrillator when the patient had insurance or good financial background (thats the sad part) and these are the family of patients who asks the doctors to not stop resuscitating... we usually alternate sa defibrillator then manual. with regards to the epi, thanks, new learning for me. Its not always all the time sad that we give more than 3 epis... most really is three epi's and we give 15mins for response if wla na, we appraise the family but like i said some family's in their verge of emotional insatbility cguro moask man ipadayun sa doc, especially if the patient is young so ambot nganu tagaan man sad epi nasad sa amo resident.
i relayed your story today , dra, with members of my surgical group and we had a discussion about this. our lead surgeon, Dr. Bautisto, who is a product of UST (he is also head of the surgical wing here) gave all of us an interesting lesson: the difference between american and philippine hospital setting. the lecture gave all of us an eye opening awareness of the situation in the philippines. the story that he shared with us, bares similarity with that of your personal experience. and i appreciate them both.
it is saddening to hear that in the philippines, a defibrillator is held off if a patient shows no financial competence. So you mean to tell me that if a person from say Inabanga (suffering from chest pain that radiates to her back and jaw) is rushed to Ramiro Hospital and if she has no health insurance, in case she suffers an acute heart attack / or hypothetical SVT, she will not be given a defibrillator?
Here in the United States, even if one has no health insurance or not, if it is a medical Emergency, the patient must be given emergency care. Mao na ang differense sa setting.
Professionalism aside, I can sympathize with why you guys didn't give up, at the request of the patient's family. How old was the patient diay? And what was the cause of death? Hypertrophic cardiomyopathy or acute MI?
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