4th April 2013
Notes: 14
You know it’s going to be a bad shift when the patient’s husband decides to go into cardiac arrest while sitting in a chair next to his wife.
The happenings and stories of a certified Black Cloud working in an Emergency Room somewhere in the United States
Also, any experience I do share conforms to HIPPA in concerns to the release of patient information. Any identifying factors have been changed and/or augmented so that I don't violate HIPAA.
Disclaimer: I am not a physician. I will not give medical advice. If you're having a medical emergency call 911.
Also, any experience I do share conforms to HIPPA in concerns to the release of patient information. Any identifying factors have been changed and/or augmented so that I don't violate HIPAA.
Disclaimer: I am not a physician. I will not give medical advice. If you're having a medical emergency call 911.
As I somewhat mentioned here, we get a lot of transfers from other rural hospitals. Our hospital is in a somewhat rural area, however we’re still on top of our game and have a little thing we like to call competency. And sometimes, we take this for granted.
The same rural hospital from the previous post transferred us a younger Type I DKA patient a week ago. As was told to me by one of our physicians, the patient was in obvious DKA with hyperglycemia, metabolic acidosis, an anion gap, and hyperkalemia, ect. The rural hospital tells us they’re doing all the appropriate steps for medical management and the patient is stable for transport.
So you might be as surprised as everyone else when the patient rolled into our ER WITHOUT AN IV, WITHOUT ANY FLUIDS, WITHOUT ANY INSULIN THERAPY, AND THEN PROCEEDED TO ARREST AS SOON AS THEY PASSED THE THRESHOLD OF THE ER.
HOW IS THAT STABILIZED?!?!?!?!?!?!?
And then the transferring physician tried to blame it on EMS not starting a line when they had a BLS crew transfer the patient.
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