Download - The Evolution of Utopian Medicine
The Evolution of Utopian Medicine
The Good Old Days
In the beginning….
The Good Old Days
Patients received pre-hospital care..
The Good Old Days
Ambulance
…and were transported to
hospital by ambulance
Ambulance
Trolley
The Good Old Days
They were provided with a trolley to rest their weary
bones
Ambulance
Trolley
Emergency
Department
The Good Old Days
…and wait review
Ambulance
Trolley
Emergency
Department
The Good Old Days
EmergencyMedicine
…in the Emergency Department
Ambulance
Trolley
Emergency
Department
The Good Old Days
EmergencyMedicine
Admission to the healing wards was
timelyHospital
Bed Admission
Whole Hospital
Ambulance
Trolley
Emergency
Department
Waiting Room
The Good Old Days
EmergencyMedicine
The Waiting Room was a
place for relatives…
Hospital Bed
Admission
Whole Hospital
Ambulance
Trolley
Emergency
Department
Waiting Room
The Good Old Days
EmergencyMedicine
….to tarry awhile therein
Hospital Bed
Admission
Whole Hospital
Ambulance
Trolley
Emergency
Department
Waiting Room
The Good Old Days
EmergencyMedicine
News travelled quickly
throughout the lands…
Hospital Bed
Admission
Whole Hospital
Ambulance
Trolley
Emergency
Department
Waiting Room
The Good Old Days
EmergencyMedicine
‘bout this place of healing…
Hospital Bed
Admission
Whole Hospital
Ambulance
Trolley
Emergency
Department
Waiting Room
The Good Old Days
EmergencyMedicine
…and thus the sick did arrive in waves and
drovesHospital
Bed Admission
Whole Hospital
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
The Good Old Days
EmergencyMedicine
Whole Hospital
Triage defined urgency for review and admission
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
The Good Old Days
EmergencyMedicine
Whole Hospital
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable
The Good Old Days
EmergencyMedicine
Whole Hospital
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable
The Good Old Days
EmergencyMedicine
Whole Hospital
Stable patients were able to
wait
Ambulance
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
The Good Old Days
EmergencyMedicine
Whole Hospital
Trolley
But those in greatest need…
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
The Good Old Days
EmergencyMedicine
Whole Hospital
..entered the treatment zone
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
The Good Old Days
EmergencyMedicine
Whole Hospital
Then one day
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
The Good Old Days
EmergencyMedicine
Whole Hospital
Came a terrible funding drought
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
The Good Old Days
EmergencyMedicine
Whole Hospital
…the sage soothsayers were right…
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
The Good Old Days
EmergencyMedicine
Whole Hospital
And so it came upon the land
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
The Good Old Days
EmergencyMedicine
Whole Hospital
An evil wind of change
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
The Good Old Days
EmergencyMedicine
…lack of support…
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
EmergencyMedicine
The Good Old Days
and a ramping plague…
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
EmergencyMedicine
The Good Old Days
…and in a flash
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
EmergencyMedicine
…the ‘Good Old
Days’ were gone
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
EmergencyMedicine
There rose a need
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
EmergencyMedicine
For Peri-
Departmental Medicine
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
EmergencyMedicine
…andUtopian MedicineWas Born
Utopian Medicine
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Utopian Medicine
Capable of: WalkingSittingTalking
Ramped patients were
assessed
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Utopian Medicine
Capable of: WalkingSittingTalking
…and re-directed
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Utopian Medicine
Unstable patients were
assessed..
Capable of: WalkingSittingTalking
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Utopian Medicine
…and treated in monitored
chairs
Capable of: WalkingSittingTalking
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
AbusiveViolent
Uncooperative
Utopian Medicine
Virulence bred new contempt for the system
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Utopian Medicine
AbusiveViolent
Uncooperative
…and force was required to
attain equilibrium
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Utopian Medicine
AbusiveViolent
Uncooperative
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Utopian Medicine
AbusiveViolent
Uncooperative
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Utopian Medicine
AbusiveViolent
Uncooperative
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Utopian Medicine
AbusiveViolent
Uncooperative
…yet the infestation continued
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Utopian Medicine
AbusiveViolent
Uncooperative
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Utopian Medicine
AbusiveViolent
Uncooperative
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Utopian Medicine
Sometimes the load became too great…
AbusiveViolent
Uncooperative
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Utopian Medicine
AbusiveViolent
Uncooperative
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Morgue
Utopian Medicine
AbusiveViolent
Uncooperative
Ambulance
Trolley
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Morgue
Utopian Medicine
The Four Minute Rule
was introduced
AbusiveViolent
Uncooperative
Ambulance
Emergency
Department
Waiting Room
Hospital Bed
Admission
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Morgue
Trolley
Actually Sick:Too Sick for Monitored
Chair
Utopian Medicine
…to coincide with the Four
Hour Rule
AbusiveViolent
Uncooperative
Ambulance
Emergency
Department
Waiting Room
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Morgue
Trolley
Actually Sick:Too Sick for Monitored
Chair
ED Review
Utopian Medicine
EmergencyMedicine
And Flow returned
AbusiveViolent
Uncooperative
Ambulance
Emergency
Department
Waiting Room
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Morgue
Trolley
Actually Sick:Too Sick for Monitored
Chair
Utopian Medicine
EmergencyMedicine
ED ReviewTo the River of
Decision
AbusiveViolent
Uncooperative
Ambulance
Emergency
Department
Waiting Room
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Morgue
Trolley
Actually Sick:Too Sick for Monitored
Chair
ED Review
Utopian Medicine
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
Emergency
Department
Waiting Room
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Morgue
Trolley
Actually Sick:Too Sick for Monitored
Chair
ED Review
Utopian Medicine
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
Emergency
Department
Waiting Room
Triage
CheckVital Signs
Stable Unstable
RAMP
Capable of: WalkingSittingTalking
CallSecurity
Police Station
Street
Too WellToo Drunk
Too Impatient
Morgue
Trolley
Actually Sick:Too Sick for Monitored
Chair
ED Review
Utopian Medicine
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
ED Review
Actually Sick:Too Sick for Monitored
Chair
Utopian Medicine
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
ED Review
Actually Sick:Too Sick for Monitored
Chair
Stay in ED
Utopian Medicine
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
ED Review
Actually Sick:Too Sick for Monitored
Chair
Move to Corridor
Stay in ED
Utopian Medicine
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
ED Review
Actually Sick:Too Sick for Monitored
Chair
Move to Resus Area
Move to Corridor
Stay in ED
Utopian Medicine
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
ED Review
Actually Sick:Too Sick for Monitored
Chair
Professional
Tantrum
Move to Resus Area
Move to Corridor
Stay in ED
Utopian Medicine
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
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
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
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
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
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
EmergencyMedicine
Discharge
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
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
EmergencyMedicine
Whole Hospital
With the addition of
AMAAMAUPDLIRAU
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
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
EmergencyMedicine
Whole Hospital
…the hospital system was
saved
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
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
EmergencyMedicine
Whole Hospital
…and the ‘Good Old Days’ returned once
more
The Good Old Days
AbusiveViolent
Uncooperative
Ambulance
RAMP
Trolley
Waiting Room
Triage
CheckVital Signs
Street
Police Station
Admit
UnstableStable
Morgue
Too WellToo Drunk
Too Impatient
Capable of: WalkingSittingTalking
Emergency
Department
CallSecurity
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
EmergencyMedicine
Whole Hospital
The Good Old Days
AbusiveViolent
Uncooperative