That would be a fair assumption: I’m an ER doc who has been in practice for 30 years and work at a Level 1 trauma center. I routinely take telemetry calls for trauma center diversions as well as consultations from outlying hospitals that lack the resources to care for these patients.
I have always said that I don't have the answers. I don't get it. But I still don't see how you, from your ER can make the call as to all the decisions PRIOR to the initial telemetry. From that point forward, I understand, from that point back, THAT is were I have the question and see too many open switches and too many remote guesses [even very educated guesses].
My main concern with your answers was that the conclusions were interwoven between facts about the specific case and general observations and opinion and dislike for the Canadian Medical system and socialized medicine in general. Those observations cloud the objectiveness of your technical opinion.
Much like when I see a financial issue go down like AIG an Treasury, I fully understand the mechanics and all the information that flows and what is both published and what is available through trending. BUT I usually caveat that with the notion that there is stuff going on of which we are unaware, elements to the puzzle that need to be present before a definitive answer can be achieved.
I talked with my ER Doc sis in law for a couple of hours this morning at the hospital about the very subject. She too is at a Level1 and a skier so this interested her greatly. Her issues were a combination of yours and mine. Questions from the before she finally saw an responder about why she was not pushed to see someone and afterwards as to what the conditions were that made the decision tree. While there is some information, is there other information that may have changed the decision.
Lots of time to talk while not looking at monitors in the Telemetry CU.