medical decision support 2025-11-12T12:19:52Z

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The ER's fluorescent glare always made midnight feel like high noon. That's when Mrs. Alvarez rolled in - trembling, tachycardic, her med list reading like a pharmacy inventory. Five cardiac meds, two antipsychotics, and something I'd only seen in textbooks. My intern's eyes mirrored the panic I felt when her pressure plummeted mid-assessment. Scrolling through disjointed databases felt like reading shredded prescriptions. Then my thumb found the blue icon I'd downloaded during residency - PLM M

The monitor screamed its flatline hymn at 2:47 AM when Mr. Henderson coded. My intern hands trembled as I ripped open the crash cart - that metallic smell of defibrillator pads mixing with stale coffee and panic sweat. Eight months into residency and I still froze when waveforms vanished. The attending's eyes drilled into me: "Pulseless electrical activity! Run the reversible causes!" My brain short-circuited like the patient's myocardium. Hypoxia? Hypovolemia? The H's and T's blurred into alpha

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Rain lashed against the cabin window like frantic fingers tapping glass when my pager screamed to life. That particular shrill tone meant only one thing - cardiac arrest at Memorial, my patient crashing 50 miles from civilization. My fingers froze mid-sirloin flip, barbecue smoke stinging my eyes as the grease-spattered grill hissed in protest. Without IMSGo, I'd be useless as defibrillator paddles in a desert. But this tool had rewired my emergency protocols since that stormy Tuesday when Mrs.

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