Tuesday, October 29, 2013

Seal of Approval

Last night...........

Seal of Approval

Cardiogenic shock
In its earliest throes,
Shallow, labored breaths
Pale and clammy to their toes,
Restless and demanding
Disorganized thought,
Classic signs of pump failure
Are those things I was taught.

Reduced urine output
A narrowed pulse pressure,
Sinus Tachycardia
We’re heading for the thresher,
Multifocal PVC’s
With Bundle Branch block,
More classic signs of
Cardiogenic shock.

Why didn’t they insert
An I A B P,
Impella in the ventricle
If it was up to me,
But no, he was sent
To our unit, for sheath removal,
Yo, Doctor, I’m not impressed
You didn’t earn, the seal of approval.


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