Life in The ER

Month

July 2012

89 posts

Friday the 13th:

wayfaringmd:

ermedicine:

The most uneventful day that I’ve ever worked in the ER

We didn’t even admit more than 3 or 4 people.

1/2 of my shift was spent eating food and gossiping with the nurses

The world is playing tricks on me!

Apparently you sent your black cloud my direction. I’m on night float, and whereas everyone else has had maybe one admission overnight, I had 5 on the 13th. Yay for me. 

(You can keep it for a few weeks)

Jul 15, 20129 notes
“pt presents with c/o CP” —All right everybody time to crack a chest!!!!
Jul 15, 20121 note
#what happens when you're bored in the ER #medicine
Friday the 13th:

The most uneventful day that I’ve ever worked in the ER

We didn’t even admit more than 3 or 4 people.

1/2 of my shift was spent eating food and gossiping with the nurses

The world is playing tricks on me!

Jul 15, 20129 notes
TSK: I FINALLY GOT TO SAY IT!!
  • 20-something male with large red non-itchy circular patches all over his torso: So I googled it, and I think this is... Lupus.
  • Cranquis *almost giddy, almost shouting*: IT'S NOT LUPUS!
Jul 15, 2012262 notes
Megacode

Just thought I would share some details on the crap storm of a code last night

The patient was about x8h s/p their second CABG, extensive PMHX for CAD, HTN, DM, MI, PTCA(s), Lipids, ect…

the patient’s blood pressure started tanking about an hour before the code was called, started on levo, as well as lidocaine for antiarrhythmics (allergy to amiodarone), and an epi drip for cardiac output. They also had an art line to monitor pressure. 

they  then started throwing runs of wide complex tachycardia, which were converted into ST with defib. By the time we got up to the floor, mag/bicarb was given and the patient had been converted three times with only intermittent success. blood pressure was also in the 80/50s with the levo drip.

We shocked the pt another 7 times while we were up there. While the ER physician/intensivist/CV surgeon were discussing their options outside the room, they went into another run of VTach (the one where I was getting yelled at), at which point the ER physician  decided we weren’t needed. The ER doctor also got pissed off because the same nurse who gave me crap also gave the ER doctor crap for taking over the code ( the nurse said something along the lines of “I’m running this code, but thanks for coming”)

Overall dramatic code. The CXR to me looked like they were dissecting but I only got a quick glimpse of it as we were leaving(as well as not being qualified to read them). The patient did get taken to surgery though, but I’m not sure of their outcome.

Jul 13, 20126 notes
#medicine #code #megacode

Okay ICU nurse, here’s the 411:

While you were busy yelling at me for doing my job while your patient is coding, you neglected to realize that he just happened to be in VTach. And I’m sorry I made you more mad by yelling out VTach and to clear because you were too busy showing off your ego.

You’re welcome.

Jul 13, 20126 notes
#medicine

As long as no older people play porn on their phone while visiting family members, I should survive the night

That was a scarring experience y’all

Jul 12, 20121 note

OH DEAR LORD I’M WORKING THE NIGHT SHIFT ON FRIDAY THE 13TH.

I’m so scared.

Jul 12, 20129 notes
Comic-Con Update

baffledinbrooklyn:

I’m waiting in a line. Not certain what its for, but I will be in Comic-Con once it starts moving.

You’re waiting in a line. A line that’ll take you far away. You know where you hope this line will take you. But you can’t know for sure. Yet it doesn’t matter

Jul 11, 201214 notes
Got a B in Ochem

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Jul 11, 201218 notes
#all of me feelings in one post

I swear that doctors gossip worse than Perez Hilton and the staff of TMZ combined

Jul 11, 20126 notes

Unfortunately I found out that treadmill costs $1,300.

Jul 11, 2012
Jul 11, 201234 notes
#medicine #med school #medical school #awesome invention
lol how tall are you?? my best friend is 6'6" and works at a childrens hospital and all day he hears "Momma he's so tall!" and they're always asking for piggy back rides

I stand at an excessive ً6’4 so I’m naturally imbibed with the power to both scare and awe the little ones simultaneously

Jul 10, 20123 notes

I think I need to switch to from my pediatrician to a FM doc because I keep scaring the little kids due to my excessive height

Jul 10, 20124 notes
My thought process while running
  • Me: lalala yay I'm running
  • : hits mailbox with leg
  • : it hurts
  • : COMPARTMENT SYNDROME
Jul 10, 201210 notes
“Walk it off!!!” —Says the physician to the pt with bilateral comminuted, displaced, and compounded femur fractures
Jul 10, 20124 notes
#medicine
Jul 10, 201297 notes
Jul 10, 201297 notes
Advice to Pre-Meds, 15th Ed.: Don't let House force you into medicine.

blue-lights-and-tea:

wayfaringmd:

  • For every cool medical show or funny story on a medical blog, there are hundreds of boring stories.
  • Tv shows like House and even the ones on the Discovery channel are made for entertainment.
  • They all have a morsel of truth (a very small morsel in the case of House), but it’s portrayed in such a way as to make it sensational so that more people will watch it.
  • The boring parts like paperwork, charting, waiting for test results, dealing with insurance companies, and the tons of routine patient visits are left out because they don’t draw tv viewers (or blog followers…).

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Brilliant advice! Those endless hours of paperwork hell never get shown. The running up and down corridors requesting tests never get talked about. In some tv shows you see professors of surgery or medicine pushing trolleys! Yes it might happen, you can count those events on your one hand.
So think long and hard before jumping into the chaos!

100% truth right there

Most of my shift consists of:

  • Charting/paperwork
  • Getting inpatient as I wonder why it takes 2 hours to get a CBC back
  • Tracking down labs/x-rays
  • complaining about said CBC
Jul 10, 2012100 notes
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