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Kristin Snowdon-Smith
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kristin@skyscape.com

Joshua Morganstein, MD

Joshua Morganstein, MD, used Skyscape software to save a patient’s life. He says "A few months ago during my intern year, I worked at a civilian hospital for an inpatient pediatrics rotation. Like most of today’s hospitals, it had a fast paced environment and it was quite an adjustment for me to go from working in a classroom environment to working on rounds in a real life setting.

First of all, their entire system was different than the one that I was accustomed to. Even more challenging was the fact that I didn't know anyone who worked there or how to find my way around. Since my last inpatient pediatrics experience was nearly 2 1/2 years earlier during my 3rd year of medical school, I did not feel as confident as all of my colleagues around me seemed.

During my first night of call I had to be down in the Emergency Department to see several acute patients. I have learned from my previous experiences that an orientation to a hospital is critical for both the patients and all the doctors involved. Unfortunately for me this time around, the doctors’ introduction to the hospital was not as efficient as I would have liked, making my first night there that much more stressful.

That night I had to receive a crash initiation to the ED and simultaneously listen to brief patient presentations. Assuming that this brief preface to the night would suffice, the rest of the staff disappeared, and I found myself alone in front of several ED charts as codes were called for various life threatening state of affairs.

In some time, a nurse came running and took me to the patient's room and pointed towards the scene of a small boy shaking on the exam table with his mother standing over him shouting at him to wake up. I asked the patient's name and quickly scanned my pile of charts until I found his information. I skimmed down through his information, which only contained his history and no assessment. A quick scan clearly revealed the boy was having a Tonic-Clonic Seizure. His mother said that nothing like this had ever happened before and she did not know what to do, all the while looking at me for reassurance. The only nurse around who wasn't at the code blue was clearly just out of training and as swamped as I was. After addressing the patient's airway, breathing, and circulation, I found that I had a total mental blank as to how to treat a seizure that, by this time, had clearly evolved into a Status Epilepticus.

I remembered that I had downloaded the recently released Harriett Lane Handbook “Powered by Skyscape” and turned on my handheld with a purpose! Seconds later, I had all the information in front of me! In addition to a more complete assessment, I was able to administer the proper medication to break the boy's seizure.

Thanks to Skyscape, I could do my job with more efficiency, confidence, and accuracy. And thanks to Skyscape, the boy is now at home safely with his mother.”

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