OK, one shift where I was not overcome with sheer volume AND had a nice mix of patients who actually have urgencies or emergencies is rare enough, two is a row is unheard of!
Here was the mix:
a. A woman in her 60’s with fairly severe angioedema of her lips and tongue – unknown [...]
Some define a good shift as one where you sit around on your ass. And while there are times that is nice, I honestly like shifts where I am not overwhelmed but where the majority of patients I see actually have an urgency or emergency!
The other day I had (in a row no less!):
a. [...]
OK, somehow Sir, I sincerely doubt that the cardiologist who did a stress test on you 5 years ago and has an office in the Orthodox Jewish section of a nearby town is named “Himmler” or “Hitler” (the guy was not sure of the exact name). I am also absolutely sure that if he was unlucky [...]
A very important and much appreciated thing that RN’s and secretaries can do for a doctor is the “help me!” or “SOS” phone call. What this entails is that when the MD is unable to extricate himself or herself from an extremely annoying patient’s or family member’s attention ( usually in the form of [...]
I get lots of things in the ER blamed on me. I get blamed for not having the patient in the room for the consultant. I get blamed for the lab being slow. I get blamed for not calling a doctor sooner, you name it.However, I draw the line when some dirty looking, odouriforous [...]
Quote from a woman who was having recurrent seizures because she had voluntarily stopped her Tegretol
“You know, I actually LIKE the feeling I get when I am about to have a seizure. It is euphoric!”
Guess she is going to [...]
Preparation: Place patient in bed in home. Don’t bother with a cardiac monitor, intubation equipment, or ACLS meds.
Step One: Give 10mg Valium by mouth
Step Two: Give Ativan 2mg IV
Step Three: Give Versed 2mg IV
Step Four: Give Propofol 25mg IV
Step Five: Go to bathroom
Step Six: Wait 82 minutes before calling EMS once [...]
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