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Did you ever notice that no male doctor ever sat on a female patient’s bed on “Ben Casey”? Or that, for a long time, all TV doctors were men? Today, TV doctors – male and female – are more likely to be flawed characters. And while shows hire medical experts as technical advisers, writers aren’t under any obligation to make any changes based on the suggestions of those pros. It wasn’t always that way. In 1951 when the first TV medical drama, “City Hospital,” aired (and in the 1960s when “Ben Casey” was popular), the American Medical Association was invested in portraying medical accuracy, not preserving the story line. And for a few decades it was within the organization’s right to demand script changes over concerns ranging from proper decorum to the way TV surgeons and doctors held their instruments. And in return, they’d stamp the show with the AMA seal of approval (shown at the end). Let’s look at “ER,” for instance: “ER” debuted in 1994, and by 2001 one out of five doctors reported their patients were asking not only about diseases highlighted on the show, but also about specific treatments used in episode story lines.

They’re losing a lot of their fictional patients. Maybe because they’re also getting a lot of things wrong. In the name of science, researchers at Dalhousie University watched every episode of “Grey’s Anatomy,” “House,” “Private Practice” and the final five seasons of “ER” – and they found that in those 327 episodes, 59 patients experienced a seizure. In those 59 cases, doctors and nurses incorrectly performed first aid treatments to seizing patients 46 percent of the time (including putting an object, such as a tongue depressor, in the seizing patient’s mouth). It’s surprising more patients in TV emergency rooms don’t die while being treated for a seizure.S. In reality, there’s one more important directive when caring for a person having a seizure: Prevent injuries. For instance, loosen clothing, and never restrain or put anything in a seizing person’s mouth while convulsions are happening. Once any convulsions have stopped, turn the person onto his or her side – a small but important step to help prevent choking.

Some seizures, such as those lasting longer than five minutes, need immediate care. Emergency treatment may include benzodiazepines and anticonvulsants, in addition to a consultation with a neurologist. It seems like everyone is having some kind of critical case in hospital emergency departments on TV. There’s a steady stream of dramatic issues coming through the doors. When’s the last time you watched a TV medical drama featuring a minor cut? There’s intrigue in critical cases, though, right? And isn’t that really what TV is all about? Cases of minor kitchen-knife accidents and banged-up knees from outdoor adventures wouldn’t be likely to garner the same ratings as more histrionic fictional patient cases. Romano accidentally lost an arm while meeting an emergency helicopter transport? Or when he is crushed to death in the hospital ambulance bay by – that’s right – another air ambulance? I hate to be the bearer of bad news, but if you arrive by ambulance to the hospital’s emergency department, whether by road or air transport, there won’t be an ER doctor, nurse or a surgeon waiting to meet your ambulance.

Normally when a new patient heads to the emergency room via medical chariot, emergency medical services personnel advise the hospital emergency team of the incoming situation while they’re in route. Then, depending on the severity of the patient’s condition upon entrance, he’ll either be immediately whisked away for lifesaving care, or he’ll be sent to the triage nurse. The triage nurse then evaluates the patient’s symptoms and decides the level of need for care, and where on the patient priority list the new patient should go. Most emergency departments stay so busy that doctors don’t have the time to wait on an incoming ambulance or helicopter the way their TV counterparts do. And that’s a fairly standard representation across the board for TV medical dramas. In reality, not all comas are the same. They’re classified based on a patient’s level of eye response, verbal response and motor response. The lower the score, the more severe the coma.