[Skip to Content]
[Skip to Content Landing]
Views 10,809
Citations 0
A Piece of My Mind
September 18, 2018

Silent Space

Author Affiliations
  • 1Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
JAMA. 2018;320(11):1105-1106. doi:10.1001/jama.2018.12753

Exhausted at the end of a busy week on service in the intensive care unit (ICU), the fellow and I are on our way to the conference room to debrief the week. The overhead code alarm disrupts the temporary lull in activity that normally occurs at shift change. We rush toward the commotion coming from the room at the end of the hall. A staccato, high-priority sound fills the air with a jarring electronic noise. Up on the flashing monitor in the room, we see the unmistakable pattern of disorganized electrical activity indicating ventricular fibrillation. The patient’s arterial line tracing is flat.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×