Paul Seward > Quotes

“There is a saying in the ER, “When the patient sweats, the doctor sweats.” Sweating unrelated to exercise, being hot, or infection is a sign of the release of adrenaline in the body, which in turn is a response to some internal stress.”
― Paul Seward, Patient Care: Death and Life in the Emergency Room

“Shock, shock, shock. Everybody shock. Big shock, little shock, little shock, big shock.” The meaning of the jingle was to defibrillate up to three times (shock, shock, shock). If no organized rhythm returned, then give epinephrine and shock again (everybody shock). If there was still no return, then start medications that suppressed irregular rhythms—bretylium (big) and then lidocaine (little)—shocking again after each one. If that didn’t work, reverse the order and repeat (big shock, little shock, little shock, big shock).”
― Paul Seward, Patient Care: Death and Life in the Emergency Room