Bad on call last night.
and when I say bad, I meant, death happened.
and it's bad because it was preventable.
How could I have not remembered that I ordered a repeat ECG and then forgotten to review it? Why didn't my staff nurses remind me that I ordered a repeat ECG and that I was supposed to see it?
Bengang and terkilan.
The thing is, I HAD gone to the ward for a quick round at 8 pm before attending to cases at the casualty. I spent half an hour there reviewing my unstable angina cases and not one of the staff said to me, Doc, you ordered a repeat ECG, would you like to take a look?
Aaaarrrghhhhhhhhh!!!!!!
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