Dr Fragen in the operating room
  • Bullseye

    In comes someone with a penetrating injury to the chest, CPR in progress. This is always a bad sign. Into the trauma bay, no pulse, no pressure, no tracing. A quick ED thoracotomy later and I find a pericardium that hissed at me when I opened it. Along with a large pericardial clot was a…

  • Mean People Suck

    Mean people suck. It has always seemed to me that it’s much easier to be nice to people than to be mean. * It takes more effort to exclude someone than to include them. * It’s easier to smile than to frown. * It’s easier to tell the truth than to lie. Unfortunately hurt feelings…

  • AT&T WiFi

    It’s real. I’m here in McDonalds and I decided for the fun of it to see what WiFi was around. I saw _attwifi_ and selected. I opened up a web page it redirected me to an iPhone AT&T page where I entered my phone number and viola. High speed access.

  • QuickClot

    Boy I’d really like to try some of this [QuickClot][1] stuff in the OR. I think it would be great to use for a planned second look. [1]: http://www.wired.com/medtech/health/news/2008/04/blood_clotting

  • Ambulance Chaser

    _Yes Virginia, they really do exist._ So here’s the story. The family of a trauma victim, a motor vehicle collision, is met outside the ICU by a lawyer saying that the particular vehicle in which they were traveling has a defect and he and his firm would be happy to represent them. The family never…

  • Never Events

    In October, 2007 CMS (Medicare) proposed a list of eight _preventable_ conditions that result in a prolongation and increase in cost of care to the hospitalized patient. These are what CMS terms **_never events_**. CMS is trying to couch this in terms of _patient safety_ but if you look at the list, there are only…