Summer’s coming so I’ll warn you now; try not to get seriously injured or ill in August. August is the month the medical students are released into the hospital as fully-fledged doctors. And to make matters worse, their first job is often on the crash team. In other words, they are your last bastions of hope, your final hand-hold on this mortal coil if you have the misfortune of going into cardiac arrest. If I were you I would just stay dead. I would want to be resuscitated about as much as I would want someone to mutilate my dead body.
Working on the crash team – especially in those first few weeks of medical responsibility – is the one time I actually feel like I’m in an episode of ER. The rest is a grim mosaic of abusive vomiting drunks, suicide, and the elderly. The crash bleep goes off and a voice commands, “Crash call, ward five!” I leap up and run, pushing people out of my way down the hospital corridors, as the five other members of the crash team join me until we’re running in unison like a scene out of Baywatch transported into the white-washed hospital ward – there may as well be an eighties ballad in the background, a slow motion camera pan, and my tits bobbing in Lycra. Everyone watching thinks I’m about to do that hero thing where I miraculously zap someone back to life, and at that moment a small part of me believes I might too.
Then I draw back the curtain and I may as well wheel that sorry fucker straight to the morgue. He’s so dead his lips look like condoms full of frozen mince and he’s virtually stiffening as we set up the crash trolley. We go through the violent motions of compressions, adrenaline, shocks, but it’s about as useful as handing the corpse your keys and asking it to feed your cats; basically, we’re just beating the shit out of a dead body.
Everyone sees the crash cart and thinks of that moment in many many movies when the young pretty patient is straddled by Dr Dreamboat as they hurtle down the corridor, him erotically pumping on her bosom, until she suddenly wakes in a flurry of gratitude only to thank the kind doctor with a kiss. This never happens. They all die. In TV soaps, 70 percent of patients make a full recovery after CPR and walk out the hospital. In reality, about one percent of resuscitation attempts are successful, with all ending up bruised usually with broken ribs and many ending up permanently vegetative. Four minutes after the heart stops beating oxygen-starved brain-cells begin to die off. After ten minutes, brain death is certain.
My last turn on the crash team was the most farcical. The death bleep sounded about 4.00 am. One of us was asleep and ran to the ward forgetting to put his shirt back on, the other turned up with a half-eaten McDonalds and the junior was late because she was so terrified of getting to the patient first and not knowing where to start.
He was a 70-years-old with a history of heart problems but we still beat at his chest, electrocuted him and stabbed him with needles for 45-minutes like masochists. Finally we decided it was the last round of shocks, but we must have missed something, because after what would be an unbearably painful experience if he was conscious, he cries, “Uh, bugger me!” then promptly dies. That was definitely a first.
I am probably racking up over 100 crashes and I’ve only seen one person come back. And I’m a good doctor. Promise. She collapsed in the outpatient waiting room. We shocked her sixteen times until her heart limped back into action and we all looked round completely surprised. It was a moment of glory. Two days later I bump into her in the cardiology ward and she looks like shit. She’s covered in bruises, with two fractured ribs and is suffering with severe anxiety from the trauma. And worst of all she didn’t even recognise me, let alone give me a high-five and a whopping reward for saving her sorry arse. Oh well.
DR MONA MOORE












Reader Comments
April 28th, 2009
11:51 am
Man, that’s pretty depressing
April 28th, 2009
12:36 pm
Sweet article!
April 28th, 2009
2:05 pm
Medical shows give a really skewed perspective on medical practice. I remember an article recently somewhere that 70% or so of medical staff were doing a basic procedure wrong because thats how it was presented on medical shows like ER, basically cinematized for audiences, and it hardly ever worked properly. Sad times.
I’d advocate a warning at the start of medical shows, but frankly, if you need a warning to tell you that medical shows arn’t factually accurate, you probably just need a shot of Darwinism.
April 28th, 2009
6:18 pm
that old man had nothing a good lobotomy wouldnt fix. Wake up and smell the leeches modern science!
April 28th, 2009
6:18 pm
wow, this article was great! its like the show ER, except i couldnt beat off to the hot nurse with AIDS
April 28th, 2009
6:20 pm
im a full-time medical photographer for 10 hospitals in detroit. code blue/ rapid response gets called a dozen times a day and no one dies 99/100 times.
April 28th, 2009
7:33 pm
Thats not what happens in scrubs
April 28th, 2009
7:38 pm
[...] Bollocks to the Hippocratic Oath: The Dead Won’t Rise Again | Viceland.com [...]
April 28th, 2009
9:06 pm
ER is about to end for good…could we have a weekly version of this to replace it?!!! But God, PLEASE don’t hit me with a bus this summer
April 29th, 2009
5:06 am
I just happen to be at a hospital just today for the first time in years and years and years. I hope to never go back to any hospital or any sort of clinic or medical office of any sort whatsoever for the rest of my life. Let me get sick and die at home or out at sea. Anwhere. I’ll take my chances. Hospitals are enormous, hostile, insane, absurd cathedrals to inhumanity.
April 29th, 2009
11:17 am
This is an undoubtledly my favourite thing to read on the internet.
I heart doctor mona
May 1st, 2009
5:47 pm
You guys should read this book called “Will The Circle Be Unbroken? Reflections on Death and Dignity” by Studs Terkel.. It’s basically interviews with people who’ve experienced death closely and who have, as it happens, profound opinions about death. Reading the book has made me question every belief I held about the tunnel and the super-quick film that flashes before your eyes when you kick the bucket.. it’s an amazing book and I’d recommend it very very highly.
Great article, by the way..
May 5th, 2009
2:30 pm
grim man, grim.
May 9th, 2009
5:08 pm
a few thoughts…
-Dr Mona Moore is comfortably the best writer on viceland.com.
-My flatmate is a junior doc. He (and seemingly most other docs) drink like MOTHERF_CKERS to self medicate the stress away.
-People in the UK need to be mor grateful for the NHS- who provide a totally fantastic service (globally speaking)for free. Thank a Dr today!
September 5th, 2009
8:28 pm
Hey I agree with this article, as a doc in the uk the same shit happens here across the pond. I had my first guy (70 yo COPD - unwitnessed resp arrest) was cold and ‘dead’ when we got to him, I was the first there and it was PEA arrest. With some uber compressions we got a pulse and became pink and perfused but pupils fixed and dilated, after 5 mins of a decent heart rhythm it deteriorated and stopped.
Agree with the new docs they are all gung ho but go straight for the ABG or cannulation and avoid making a decision or inputting into what to do next. Only chap i’ve met that has made it was witnessed VF arrest outside the hospital in front of an ambulance (lucky bastard). May as well make everyone DNAR because in reality you are a bag for people to practice taking bloods, ABGs, work on their compressions, have a ‘go’ at managing the airway or giving any random drug (atropine, adrenaline, naloxone, fuck it!) because they can’t remember the algorithm, either that or for someone to press the shock button on you, either way you are toast.