Sending you many mental fist bumps in anticipation of your no doubt epic pass of the practicals.
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Thank you sir! I think it went well today. Now on to the practicals.
Sending you many mental fist bumps in anticipation of your no doubt epic pass of the practicals.
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Glad you had a good clinical!
Not to rain on your parade but I find it really hard to believe she was really hit at 40 mph unless she was "just" sideswiped and came away from it with minor abrasions. I know kids bounce but pediatrics aren't exempt from the laws of physics.
As far as stripping her, my personal opinion but I can do a pretty god job of visualizing without cutting by moving the clothes around, especially in the younger kids who's clothes don't tend to be as fitted as teenagers and young adults. I wasn't there so I don't want to monday morning quarterback but if she truly had no outward signs of trauma outside of mom/neighbor/bystander yelling about "THE CAR WAS DOING AT LEAST 40!" I wouldn't be all that quick to make this girl trauma naked. She was in a scary accident and ambulances and hospitals can be really scary as well, no need to add to it by stripping her all the way down. If it's necessary then by all means do it but it doesn't sound like it was in this case as you described it.
BOOM! Goes the dynamite.
Since we're talking clinicals... got to help put in a femoral line and work up a urosepsis vs colitis patient.
We used ultrasound.
Glad you had a good clinical!
Not to rain on your parade but I find it really hard to believe she was really hit at 40 mph unless she was "just" sideswiped and came away from it with minor abrasions. I know kids bounce but pediatrics aren't exempt from the laws of physics.
As far as stripping her, my personal opinion but I can do a pretty god job of visualizing without cutting by moving the clothes around, especially in the younger kids who's clothes don't tend to be as fitted as teenagers and young adults. I wasn't there so I don't want to monday morning quarterback but if she truly had no outward signs of trauma outside of mom/neighbor/bystander yelling about "THE CAR WAS DOING AT LEAST 40!" I wouldn't be all that quick to make this girl trauma naked. She was in a scary accident and ambulances and hospitals can be really scary as well, no need to add to it by stripping her all the way down. If it's necessary then by all means do it but it doesn't sound like it was in this case as you described it.
Or perhaps he just had a oropharynx full of secretions?
Did they sedate and paralyze him when they intubated him?
I love going in for clinicals whenever I want. Had a pt who was in-and-out A&O, was telling us her birthday was 1923 (and then when we explained to her, said her birthday was 1993, which it was, and followed that by saying her grandmother was in 1994...). She snorted adderal and drank a buncha alcohol, and I watched two of the IVs in her dig past the skin when she would sit up. She was also trying to seduce me at one point, which cracked me up. She was in trauma 1.
The guy in trauma 2 drank a full thing of bleach, 2 bottles of pills (not sure what kind), and said he wanted to die. This was all after he beat the :censored::censored::censored::censored: out of his wife and kid, who were in the room diagonally across from us. Deep laceration on L wrist, scratches (from his wife?) on his L arm, and at one point he started siezing. I couldn't keep up with him since I was dealing with the drunk girl.
Finally, my favorite call of the night was a 12 y/o girl who was on a bike and got hit by a car going 40. She had effectively NO injuries. I mean, a few abrasions and contusions (the same ones I had when I was hit, ironically), but effectively okay. She was absolutely the sweetest girl ever, and took needles like a champ. When asked if we could cut her shirt, she said "yeah sure why not."
However, WHY she wasnt naked when she came in is beyond me. She was hit at around 40 mph, on her left side. She still had all her clothes on, but was marked as a trauma from the moment EMTs were on scene. Maybe not naked, but more exposed would have been better. Hidden wounds = bad.
And speaking of the bleach guy, I saw an EMT who was on shift last night as-well. Asked him if his day was any fun, he said nope. He's the one who brought in the bleach-man. ahahha
First day in the field as a medic tomorrow.
Talk about nerve racking.
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You wearing your "da man" name tag?
Yeah I am not going to cut the clothes off of a little girl that has no visible injuries. You can move clothes without scissors in EMS too... Now if you find something that might be different. Blanket statements about what to do with trauma statements really do no good. Glad she was fine nonetheless.