Hey folks, Scott Wangart here and this is the M Crit Podcast.

Today on the podcast, I am super excited to finally put out there a concept I have been thinking

about for, I think, a year and a half now. And it also stemmed from when I did that rural

emergency medicine episode. And I got to thinking that something's missing from the way

critical care and resuscitation education is done in emergency medicine. I put stuff out there,

but there are still EDs. I visit or speak to people who work there and I find that the baseline

level of care is not necessarily care that is in keeping with the current thoughts on the optimal

care of a sick patient. And I think it's because, you know, there's all these amazing initiatives,

whether being in the conventional media space or the foam space or the new media space. And all

of this great information is out there, but the information doesn't penetrate to the baseline

culture of the specialty. I think what's needed is a different approach. I think we need to

establish an absolute standard below which care will never drop. No matter where you are,

you could be in a rural place, you could be in a suburban place, you could be in an urban place,

you'll have a one, level three, it doesn't matter. This is the absolute baseline for care. And then

some places may exceed that, may go further, but no one should be allowed to go lower. And as I

started letting this percolate in my mind, I realized what I think this solution is to have a set

of guidelines, not forced upon you, not, you know, CMS measures, but just guidelines that we agree

to as a specialty is the very foundation. And I go to places that are, you know, big centers.

This is not a problem of rural medicine. I go to places that are big centers and their

foundational care is not good. So this project, which you're going to hear introduced for the first

time today, is the project of foundational stabilization, foundational stabilization. Just the

absolute minimum that any critically old patient should be able to expect anywhere in the country.

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