Longest you've had an ED pt wait for inpt transfer?

[fiatslug]

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My personal record, in my last month of child fellowship, is a 16 yo w/strong family hx of CPS who presented with florid AVH after ingestion of all kinds of crap, including probable PCP.

No beds anywhere. After six days, I had to discharge him home from the ED after he stabilized with olanazpine and time in the low-stimulation room. Which is an appalling indictment of our inpatient treatment options for kids (in adult in SF, longest wait was 3 days, with the ER breathing.down.my.neck at every change of shift).

 

[whopper]

A few days. NJ had a specific 24 hour rule. Problem was that the patient (a child) needed hospitalization and no hospital had an available bed for the patient.