On being observed

Holt shares that he thought he'd become proficient at advanced cardiac life support (ACLS) by the time he reached his second year of internal medicine residency. Yet, during one code on a patient with ventricular fibrilation, he failed to recall the second line therapies of the ACLS algorithm. Luckily, a gray-haired cardiologist's advice saved his day. According to him, the cardiologist offered two suggestions that have always stuck with him: Remember that in-house ventricular fibrillation arrest has a better prognosis, and be careful of my spoken words, as you never know who might be listening. [PUBLICATION ABSTRACT]