Push the Pause Button

(Wikimedia Commons image)

Several years ago my team and I resuscitated a two-year-old child with fulminant meningococcemia during a night shift in a small community hospital. It was only my second case in 25 years of practice, but despite providing all the right lifelines and transfer to a tertiary care facility with a pediatric ICU…I knew the child would die.

We carried on with our duties long after the helicopter departed…steadfast yet each of us enveloped in our own sadness. It wasn’t until weeks later during the “debriefing” meant to cleanse our hearts and minds of the tragedy did we dare face the death together as a team.

I can tell you from experience this is not the way to approach a death of this magnitude…or any death. Take a short listen or read about initiating “The Pause” after a death no matter where you practice by listening to: The Pause by Reuben Strayer MD on the February EMRAP cme.

Who knew? Ever wonder where those computer symbols originated? According to Gizmodo, the pause symbol is based on a musical notation, the caesura, which indicates a-wait for it-pause.



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