the 100% directionless thread

NVRob said:
Yea that wouldn't fly here. You'd have to present a MD note the next day which means a visit to the ER and seeing lots of our crews.

I'm sorry bud that sucks!
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Hoping that's what happens. Tonight was a cluster f for ALS not AS bad for bls, but with ALS super busy they can't backup BLS transfers. I didn't make plans other than spending the night with my girl though, figured this would happen one way or another. At least I'm home now with 2.5 hours double time.
 
lightsandsirens5 said:
Ah ha ha ha ha ha ha! You know what is really funny? When two people are OBVIOUSLY in love, but they deny it to everyone, including each other and even including themselves.

Ha ha ha! :rofl::rofl::rofl:
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So why do you hate your right hand again?
 
I'm getting my unit ready and the radio won't shut up. It's gonna be a longggggg morning.
 
Holy Crap .... I slept now for 5 hours and it has brought nothing.... :blink:
I feel drunk, but I have not drunk alcohol...:huh:
 
Rettsani said:
Holy Crap .... I slept now for 5 hours and it has brought nothing.... :blink:
I feel drunk, but I have not drunk alcohol...:huh:
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I feel hungover but I didn't drink last night. Explain that one...
 
ARose said:
I feel hungover but I didn't drink last night. Explain that one...
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I believe that one can not explain,
Status after New Year's Eve night shift .....:unsure:


I think I get a migraine attack, at least I have a feeling
 
Two decompensated shock patients in three days. One was septic from Infxn of her Peg tube, the other (this morning) I didn't have a clue. Lungs full of fluid bilateral upper and lower. Elevated temp, but was not ill last night. Likely history of CHF from meds and presentation (husband was a horrible historian), so possibly cardiogenic. But she also had blood out of her mouth that had the strong GI odor, so maybe hypovolemic? Either way, both got bilateral lines with fluid boluses and dopamine drips. Levophed may have been a better option, but we just got it in our protocols and it hasn't arrived yet.

Interesting way to finish off my week. And now... 2 weeks vacation :D
 
PoeticInjustice said:
Two decompensated shock patients in three days. One was septic from Infxn of her Peg tube, the other (this morning) I didn't have a clue. Lungs full of fluid bilateral upper and lower. Elevated temp, but was not ill last night. Likely history of CHF from meds and presentation (husband was a horrible historian), so possibly cardiogenic. But she also had blood out of her mouth that had the strong GI odor, so maybe hypovolemic? Either way, both got bilateral lines with fluid boluses and dopamine drips...
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Hmmm I wouldn't be too keen on giving fluid to somebody with dishwasher lungs, you raise an interesting clinical conundrum sir.

While non perfusion of vital organs from shock kills so does pulmonary oedema, balance of risk is probably towards very short on scene time , foregoing ALS backup because they have nothing in their bag of tricks I dont thats going to help in the short term and conveying on red lights into hospital

Given me something to think about, damn you :P
 
R99 said:
Hmmm I wouldn't be too keen on giving fluid to somebody with dishwasher lungs, you raise an interesting clinical conundrum sir.

While non perfusion of vital organs from shock kills so does pulmonary oedema, balance of risk is probably towards very short on scene time , foregoing ALS backup because they have nothing in their bag of tricks I dont thats going to help in the short term and conveying on red lights into hospital

Given me something to think about, damn you :P
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CPAP + Pressors, then see how they sound maybe bolus after that?
 
Inotropes, vasodilators, fluid and CPAP sounds like my treatment plan of choice.

You don't want to start pressors on an underresucitated patient if you can avoid it.
 
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2 days!
 
Woke up with severe vomiting and diarrhea. Im up to 2000 of LR and getting sent home.
 
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Anjel1030 said:
2 days!
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And 200 pages to read in those two days. School hasn't even started yet and I'm already stressed. :ph34r: Thank God the majority of the reading is watered down cell physiology, which I've been burying myself in for the last month or so.
 
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So nursing staff twice referred to me as a doctor in the last 24 hours hmmm can I get that in writing for my next car loan or something? :D
 
Attended my first trauma pt today. The charge nurse was all "as my little rookie is growing up!"

Plus my partner complimented me on it...

:D
 
"... that binds with oxygen in the pulmonary (lung) capillaries."

Really? If they need "pulmonary" clarified, maybe they shouldn't be going into medic school.
 
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