The Evolution of Utopian Medicine

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The evolution of Waiting Room Medicine and Utopian Medicine

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  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • Send patients somewhere - purple Doing actions in RED Patient observations in
  • The Evolution of Utopian Medicine

    1. 1. The Evolution of Utopian Medicine
    2. 2. The Good Old Days In the beginning….
    3. 3. The Good Old Days Patients received pre-hospital care..
    4. 4. The Good Old Days Ambulance … and were transported to hospital by ambulance
    5. 5. Ambulance Trolley The Good Old Days They were provided with a trolley to rest their weary bones
    6. 6. Ambulance Trolley Emergency Department The Good Old Days … and wait review
    7. 7. Ambulance Trolley Emergency Department The Good Old Days Emergency Medicine … in the Emergency Department
    8. 8. Ambulance Trolley Emergency Department The Good Old Days Emergency Medicine Admission to the healing wards was timely Hospital Bed Admission Whole Hospital
    9. 9. Ambulance Trolley Emergency Department Waiting Room The Good Old Days Emergency Medicine The Waiting Room was a place for relatives… Hospital Bed Admission Whole Hospital
    10. 10. Ambulance Trolley Emergency Department Waiting Room The Good Old Days Emergency Medicine … .to tarry awhile therein Hospital Bed Admission Whole Hospital
    11. 11. Ambulance Trolley Emergency Department Waiting Room The Good Old Days Emergency Medicine News travelled quickly throughout the lands… Hospital Bed Admission Whole Hospital
    12. 12. Ambulance Trolley Emergency Department Waiting Room The Good Old Days Emergency Medicine ‘ bout this place of healing… Hospital Bed Admission Whole Hospital
    13. 13. Ambulance Trolley Emergency Department Waiting Room The Good Old Days Emergency Medicine … and thus the sick did arrive in waves and droves Hospital Bed Admission Whole Hospital
    14. 14. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage The Good Old Days Emergency Medicine Whole Hospital Triage defined urgency for review and admission
    15. 15. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs The Good Old Days Emergency Medicine Whole Hospital
    16. 16. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable The Good Old Days Emergency Medicine Whole Hospital
    17. 17. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable The Good Old Days Emergency Medicine Whole Hospital Stable patients were able to wait
    18. 18. Ambulance Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable The Good Old Days Emergency Medicine Whole Hospital Trolley But those in greatest need…
    19. 19. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable The Good Old Days Emergency Medicine Whole Hospital ..entered the treatment zone
    20. 20. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable The Good Old Days Emergency Medicine Whole Hospital Then one day
    21. 21. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable The Good Old Days Emergency Medicine Whole Hospital Came a terrible funding drought
    22. 22. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable The Good Old Days Emergency Medicine Whole Hospital … the sage soothsayers were right…
    23. 23. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable The Good Old Days Emergency Medicine Whole Hospital And so it came upon the land
    24. 24. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable The Good Old Days Emergency Medicine Whole Hospital An evil wind of change
    25. 25. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable The Good Old Days Emergency Medicine … lack of support…
    26. 26. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Emergency Medicine The Good Old Days and a ramping plague…
    27. 27. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Emergency Medicine The Good Old Days … and in a flash
    28. 28. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Emergency Medicine … the ‘ Good Old Days’ were gone
    29. 29. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Emergency Medicine There rose a need
    30. 30. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Emergency Medicine For Peri-Departmental Medicine
    31. 31. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Emergency Medicine … and Utopian Medicine Was Born Utopian Medicine
    32. 32. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Utopian Medicine Capable of: Walking Sitting Talking Ramped patients were assessed
    33. 33. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Utopian Medicine Capable of: Walking Sitting Talking … and re-directed
    34. 34. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Utopian Medicine Unstable patients were assessed.. Capable of: Walking Sitting Talking
    35. 35. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Utopian Medicine … and treated in monitored chairs Capable of: Walking Sitting Talking
    36. 36. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Abusive Violent Uncooperative Utopian Medicine Virulence bred new contempt for the system
    37. 37. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Utopian Medicine Abusive Violent Uncooperative … and force was required to attain equilibrium
    38. 38. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Utopian Medicine Abusive Violent Uncooperative
    39. 39. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Utopian Medicine Abusive Violent Uncooperative
    40. 40. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Utopian Medicine Abusive Violent Uncooperative
    41. 41. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Utopian Medicine Abusive Violent Uncooperative … yet the infestation continued
    42. 42. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Utopian Medicine Abusive Violent Uncooperative
    43. 43. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Utopian Medicine Abusive Violent Uncooperative
    44. 44. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Utopian Medicine Sometimes the load became too great… Abusive Violent Uncooperative
    45. 45. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Utopian Medicine Abusive Violent Uncooperative
    46. 46. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Morgue Utopian Medicine Abusive Violent Uncooperative
    47. 47. Ambulance Trolley Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Morgue Utopian Medicine The Four Minute Rule was introduced Abusive Violent Uncooperative
    48. 48. Ambulance Emergency Department Waiting Room Hospital Bed Admission Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Morgue Trolley Actually Sick: Too Sick for Monitored Chair Utopian Medicine … to coincide with the Four Hour Rule Abusive Violent Uncooperative
    49. 49. Ambulance Emergency Department Waiting Room Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Morgue Trolley Actually Sick: Too Sick for Monitored Chair ED Review Utopian Medicine Emergency Medicine And Flow returned Abusive Violent Uncooperative
    50. 50. Ambulance Emergency Department Waiting Room Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Morgue Trolley Actually Sick: Too Sick for Monitored Chair Utopian Medicine Emergency Medicine ED Review To the River of Decision Abusive Violent Uncooperative
    51. 51. Ambulance Emergency Department Waiting Room Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Morgue Trolley Actually Sick: Too Sick for Monitored Chair ED Review Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    52. 52. Ambulance Emergency Department Waiting Room Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Morgue Trolley Actually Sick: Too Sick for Monitored Chair ED Review Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    53. 53. Ambulance Emergency Department Waiting Room Triage Check Vital Signs Stable Unstable RAMP Capable of: Walking Sitting Talking Call Security Police Station Street Too Well Too Drunk Too Impatient Morgue Trolley Actually Sick: Too Sick for Monitored Chair ED Review Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    54. 54. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    55. 55. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Stay in ED Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    56. 56. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Move to Corridor Stay in ED Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    57. 57. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Move to Resus Area Move to Corridor Stay in ED Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    58. 58. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Professional Tantrum Move to Resus Area Move to Corridor Stay in ED Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    59. 59. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Review by admitting team Professional Tantrum Move to Resus Area Move to Corridor Stay in ED Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    60. 60. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Review by admitting team In-House Fighting Professional Tantrum Move to Resus Area Move to Corridor Stay in ED Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    61. 61. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Review by admitting team In-House Fighting Professional Tantrum Move to Resus Area Move to Corridor Stay in ED Utopian Medicine Emergency Medicine Discharge Abusive Violent Uncooperative
    62. 62. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Review by admitting team In-House Fighting Professional Tantrum Move to Resus Area Move to Corridor Stay in ED Discharge Utopian Medicine Emergency Medicine Whole Hospital With the addition of AMAAMAUPDLIRAU Abusive Violent Uncooperative
    63. 63. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Hospital Bed Admission Review by admitting team In-House Fighting Professional Tantrum Move to Resus Area Move to Corridor Stay in ED Discharge Utopian Medicine Emergency Medicine Whole Hospital … the hospital system was saved Abusive Violent Uncooperative
    64. 64. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Hospital Bed Admission Review by admitting team In-House Fighting Professional Tantrum Move to Resus Area Move to Corridor Stay in ED Discharge Utopian Medicine Emergency Medicine Whole Hospital … and the ‘ Good Old Days’ returned once more The Good Old Days Abusive Violent Uncooperative
    65. 65. Ambulance RAMP Trolley Waiting Room Triage Check Vital Signs Street Police Station Admit Unstable Stable Morgue Too Well Too Drunk Too Impatient Capable of: Walking Sitting Talking Emergency Department Call Security ED Review Actually Sick: Too Sick for Monitored Chair Hospital Bed Admission Review by admitting team In-House Fighting Professional Tantrum Move to Resus Area Move to Corridor Stay in ED Discharge Utopian Medicine Emergency Medicine Whole Hospital The Good Old Days Abusive Violent Uncooperative

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