Tetracaine is a nice little drug, but it has been years since I have used a Morgan Lens. When I worked more regularly in the city and dealt with more patients who had been maced or pepper-sprayed, I had more occasion to use the Morgan Lens, although many times we just irrigated the eyes with the IV tubing, as ift takes a high-level of cooperation for a patient to accept a Morgan Lens in their eye.
I know I am old and approaching the end of my life, but I was once a vibrant man who taught school for many years and often demonstrated for various causes such as civil rights and against the slaughter of baby seals. If I were able, I would make a sign and demonstrate in front of your house. I would lean against my walker and hold my sign up for passing cars and the news cameras to see. “Stop the Horror! Ban Lasix!” I know I am not the first victim. I wish to be the last.
In coming posts that will likely stretch over several months, I will rank the drugs in my kit in terms of their essentialness (in reverse order). I will try to intersperse some basic pharmacology on the meds (which will be a good refresher for me), stories my personal experiences with them, and perhaps some research about their effectiveness and future uses.
Writing this I realized that the arguement I often use to give a patient another dose of morphine in the parking lot is that time to the hospital doesn’t always equate to time to medical care in the hospital. Studies have shown hospitals can have a median time of 149 minutes to medication after triage. I wonder what the numbers are with regards to time to the hospital versus time to the bedpan in the hospital.