Hey there, folks. Scott Wangart here, and this is the M. Critt podcast. Today, a topic

that I think is quite important. You know, I rarely get visibly angry during a shift.

And I'm not talking about the fake anger that we do just for play. And I'm not talking

about the raised eyebrow looks I give to my residents to keep them on their toes. I'm

talking about actually angry. The one situation that reliably causes visible anger in

me is when I come on to shift, and I walk into the rooms of the critical care unit before

we start rounds. And I see a patient with tears streaming down their face, but they're paralyzed,

and I look up at the propelfall pump. And if it's there at all, it's set to 10 micrograms

per kilogram per minute. This is infuriating. It is unacceptable. It is not the way we should

be treating patients. And yet at every center I've been at, I will see it quite commonly.

And this has to stop. It's no longer acceptable to put this off to the departments being busy

or just a lack of knowledge. Now we have actual evidence for it. And that's what we're going

to discuss today is the problem of awareness during paralysis in the emergency department

and critical care units because of inadequate care by the providers before we jump in. I

still have a few slots left in medicine coaching. I told you I'd just give a 20 second highlight

each time I do a podcast on a particular area that I focused on with my clients. And

today's is the idea of overwhelm. Not enough time. You're like, where does all the time go?

I don't have enough time to do the things I want to do. I don't have enough time to spend with

my family. Where is all my time going? We can work on that. I would have you do a time study,

actually track down everything you're doing for a week or two. And then we could go over and decide

what's essential, what's beneficial, what gets you to where you want to be 10 years now,

and then what is completely non-essential, what is stealing your time, what is work that needs to

...