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Dec. 27, 2010

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One of my patients almost died when the rapid response team did was not called by the nurses on duty. His leg was bleeding internally for about 14 hours due to spontaneous bleed caused from the treatment of a pulmonary embolus that Atrixa prophylaxis did not prevent following a total hip arthroplasty. After the INR was therapeutic from coumadin and lovenox still overlapped, the spontaneous bleed started. By the time the doctors saw the patient, he had lost 7 units of blood into his leg and went into hemorrhagic shock, but did not die. After recovery a few weeks later, the patient wrote to the hospital Chief of Staff to ask that the hospital implement a PATIENT ACTIVATED rapid response team. The hospital and its medical staff agreed to make the change. So perhaps now, if a patient thinks he is bleeding to death whilst in this hospital, he will not ask to be taken outside to be transported to the hospital's ED to be diagnosed before death!

(Suggest removal) 12/27/10 at 3:12 p.m.

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