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#ICUchecklist is to make sure the plane doesn’t crash, not to assure the stewardesses don’t run out of Diet Coke on the way to Los Angeles. If the checklist gets too long, it becomes pro forma, and is rattled off without attention. The picture shows a cumbersome #checklist 
It seems to imply that the individual patient and their disease process does not matter, you simply have to check some boxes like you were starting a plane or baking some cookies. It seems also to imply that we will forget to monitor medications and labs and…everything
Much of what is there is based on flimsy, dated, or no evidence (GI PPX) and will hardly lead to a plane crash if ignored for a day - the NNH is huge. Few patients are harmed by a day or two “delay” in starting enteral nutrition - there is scant evidence of harm. So, why do we…
