Neculai Fantanaru

Everything Depends On The Leader

The Emergency Procedure

On April 23, 2010
, in
Leadership eX-Elite by Neculai Fantanaru

Maximize Your level of self-acceptance and motivation in playing a key role through what makes you suffer if you do not live up to your role.

As a medical practitioner, a profession which requires many obligations and a high level of training, you can never be certain what the future holds for you. Many problems can suddenly appear, making you go beyond your standard thinking, to adapt to very different and complex situations. And to think like a man of action who, with the whole ardor of his heart, with a particular enthusiasm, but also relying on his intuition and profound knowledge, hurries to fulfill his appointed objectives.

As a general practitioner, you must be certain that your abilities, your attitude, will, ability of quick reaction, wit spirit towards yourself and others will be put to the test in very tricky situations, in truly extraordinary circumstances.

Leadership: Does the way in which you serve a goal of unity between consciousness and commitment to social responsibility, come to demonstrate the greatness that you are experiencing by cultivating the feeling of guilt?

Let's take the example of a poolside, where there are several swimming pools for kids and adults. You're one of the three doctors from the Emergency Health Service (which, obviously, must fulfill working conditions), within the Ambulance Service. You mustn't always be alert at the activity within the swimming pools, because this comes within the purview of the lifeguards, but it's imperative for you to act when accidents happen. Toy must be a responsible person, capable to make quick and firm decisions.

And let's suppose that, one day, when your other two work fellows are out for lunch, you're notified that something terrible happened at the last swimming pool. While you're quickly moving towards the appointed place, you hear screams and you notice there is a livid and lifeless child lying on the sand and everybody stares at him and does nothing. You immediately arrive at the place of the accident. What do you do next?

1. Do you panic and try to get in touch with your other two work colleagues or your hierarchical boss?
2. Do you request the intervention of SMURD?
3. Do you fill the chart?
4. Do you take samples for lab analysis (blood, urine, feces, expectoration, etc.)?
5. Do you promptly intervene with cardiopulmonary resuscitation procedures?

The greatness you experience by cultivating your feeling of guilt can be seen in the way you react when you are accused of certain things or deeds: you feel your soul shatter from what happened but consider with all your being that you have done everything you could do to correct the situation.

Indeed, it would be normal for you to intervene with cardiopulmonary resuscitation procedures, and only afterwards to examine the causes that lead to the induction of the tragedy. The causes can be multiple: cardiac arrest, hypoglycemia, spasmophilia, stroke, etc. But it would be a terrible mistake which can cost the life of the patient for you not to quickly intervene with cardiopulmonary resuscitation procedures and to lose precious time with your doubts. First of all, you must intervene and do your best, with temerity and a lot of attention, and you must understand that the life of the patient is in your hands. But, and this is where I wanted to get at, the most important thing is for you to respect the specific procedure set up for these cases.

Your ability as a doctor can be proved only in such cases, when a critical accident takes place and you have to intervene. You try in vain to cure a patient if you don't know and observe the procedure you have to follow in case of an emergency, and if you don't display a lot of alertness, intelligence and audacity.

When you know the procedure, you do what you have to do in such a critical circumstance. As for the patient's fortune, it lies in your own hands.

Leadership: Do you follow your own story that conquers everyone’s hearts in an episode of "The Power of Destiny" that astonishes the intensity of your feelings towards the person you have chosen a different path for?

It is critical that every medical unit clearly specifies the procedure in case of receiving medical emergencies, so that the doctors can promptly step in and immediately take the appropriate measures. First of all, the emergency procedure involves the therapy needed to support vital functions (respiratory, circulation, neuro-vegetative tonus, nervous system activities, excretion, etc). Subsequently, after the vital functions of the patient have been stabilized, investigations can be requested in order to orient the doctor to a diagnosis and etiological therapy.

Introduction and compliance to an emergency procedure in medical units. When the doctor on duty receives a medical emergency, such as a patient with cardiac arrest, he must previously know the respective specific emergency procedure in order to apply it. What would be imperative: for the doctor to take a specimen for the test or to apply the measures necessary for the patient to get back his cardiac function?

And so I take the liberty to ask another question: the doctor should act on his own account or he should call for other doctors' help? The responses to these questions must be included into the emergency procedure that any hospital should set up for itself. And I find it important to mention the fact that any emergency procedure first of all needs to have defined the term of medical emergency.

Leadership: Does your desire to be necessary in a key situation outweigh the consequences of your willingness to accept taking an important role from the perspective of what you are willing to lose in case of failure?

Once the emergency procedure is set up, it must absolutely be known by all the doctors on duty. In case of failure, if the patient dies, by considering every situation apart, the causes which brought down this unhappy ending, causes which can depend on the patient, the doctor or the flaws of the procedure itself can be concluded. And the analysis is indispensable in order to constantly improve the medical activity.

In leadership a logical sequence of activities and actions must exist, according to the importance of their effects. There is a gradual importance of the actions you must undertake, you cannot act only by following your instinct and relying upon the confidence in yourself. You must follow a certain regulation, you cannot go your own way and do what you think it's best. And, above all, as a leader, you must have prodigious organizational skills, a well-aimed decisional ability, in order to achieve the intended effects.

To be responsible for someone’s fate is like relishing a much too cold ice-cream: you do not have to take responsibility yourself in the event of health problems, but you have to be able to endure the cause and intensity of the pain that will affect your entire life.

P.S. When confronted with a critical situation, you don't have the time to think and ask yourself: "What do I do now?", but you must establish your priorities, as well as the logical sequence of the activities indispensable for removing this unwanted situation. Indeed, written procedures are recommended in critical situations.

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