Dr Mark listened to my history and took my recommendations on board. We had a sensible discussion about possible options for this patients care and agreed a course of action.
Dr Mark listened carefully to my situation and was appreciative of the difficulties we were facing as a crew. He was keen to empower us as much as possible to deal with situation we found ourselves in and, therefore, gave us a large degree of latitude in which to manoeuvre in terms of additional doses of post ROSC midazolam.
I had contacted Julian reference a patient involved in an RTC who did not produce cortisol due to a disturbance in his HPA axis caused by the removal of his pituitary gland. The RTC was a stressful event and therefore a dose of Hydrocortisone IV would benefit him. I found Julian's advice extremely reassuring, caring, professional and informative giving me the confidence to treat this patient effectively and efficiently.
Short link to review Dr Julian Mark: http://iwgc.net/eer6m