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.

Fibril_late;

10/29/13