mum pnmum emendare numeras

primum emendare numeros

Tomas G. Rios 
summon, seatehter u, 12 24 PM
I . Hmslun raas Med cenler Pad [Hmslunfuas mm]

 

Dear team

As yau may ur may not know, there have been several RRT ences that have left me my head and wondering what my rule is in the
hospital, I want yuur attennun the of pafienelE Although Eplz le pravide all the snectfie details, he is a panent who has
treert admitted fur the last 40c days. he is the trarsplartt list fur SLK and this marmng a rapid response was railed sometime around 07317. The
(untem was far altered mental status.

The decision was independently made tn nansfer the panent tn the ICU wimuul (unsullallml Dfnle listed primary physiu'an, instead, an unsaltnted
(uninhatlun with srinsal (are was perfomlad who subsequently appmved the ICU nansfer,

 

_gdt the dredstm appruam the ICU including arterial line and sentral ltrte (even though he was never hypotensive), llut ttul 55 (with a
normal white mum and numlal vertaus ladale), and (with no (hart evidense 0? last at prmecu'ng his airway). Not sure what his a: was
either strtee rt w? either not assessed and/Dr remmad.

The true ufmls email is "pnmum emertdare numeruus" whim means "first, the numbers." althuugh there ntay be many objectives, I feel that
the sunent primiry meme with the an system. patient underwent at km 3 unrtee--ry pnxedures (art line, sentral ltrte, trnuttatian)
hm tew objective parameters that do not necessarily palm SEpsls.

   

Sometimes, la: is more, and nut every patient with a fever tadtyrardta ur AMS regutres the attave aggressive appmach. A suggested revision to me
pnmary abjemve Dfnle RRT system is "pnmum nan rttxere,"

sincerely,

Tomas Rims

VamasG Rm: 

"Yhiselemam: message mended .rttehved ehiyuu the named aha mayeemeth .htermsheh lhal ts disdasmeor
use under appiteshie uh. Van are hereby mined "ml the dlssemlna"an,dlsulbul10n ttyeu am her the mended 
Please north the gehder 1nd paper, at ether and enaehmehts -

Imps I/pmc teamheanh canvuwal739=l|em8t|=lPM