So here was my yesterday:
I managed to get coffee and breakfast and just happened to be on the phone BSing with city communications when I got dispatched, 2 districts over for a cardiac arrest. 70-ish female in PEA, 3 rounds of drugs, lido drip, pacing and defib. DRT at Duke.
2nd call, some lady locked her 6 month old in the car with the AC on high. The car was in the garage and the cop didnt want to break the window. Couldnt figure out how to get in, called a locksmith and almost broke the window because the baby became lethargic. Locksmith showed up just in time, baby had cried himself to sleep. cancelled that call.
Had a pt with what I'm sure was an MI who decided to AMA. Could NOT convince this guy to go to the hospital.
Next, hypotensive septic shock with BP 50/0, HR 150 in a clinic with a doctor standing by who stated: "just take her to the ED, all she needs is some Zosin and she'll be fine" They wanted to wait to draw 10, 20cc syringes of blood for labs and take a urine sample, all without a fluid bolus or any oxygen. Needless to say, this poor lady got her fluid bolus, and her high flow O's without all that blood being taken off of her. Went to the ED lights and sirens, got there and realized they had given neither of us paperwork. GRRRR! :angry: She went to the MICU.
Another code. Asystolic cardiac arrest at a nusing home "estimated downtime 7-10 minutes" How many times have I heard that? Intubated, 4 rounds of drugs, CPR, code 3 to Duke. DRT in the ER.
40 year old med student with the flu. Thinks he has meningitis, but no pain with ROM, high fever, or photosensitivity. Just out of professional courtesy, I gave him some Tylenol and a fluid bolus. Big baby.
Angulated ankle fx from vehicle vs mo-ped. (I got pics of this one from the police sgt) 10mg MSO4, splint and a ride to duke. turns out it was just horribly dislocated. He got reduced, with a huge scream, by the docs in the ER.
Got off an hour late, started 45 minutes early, put in a 14 hour day. The nurses at the ED wouldnt answer the radio when I called in pre-alerts, the docs were calling me "Reaper". Needless to say, I drank myself a cold beer and went to bed early!
I managed to get coffee and breakfast and just happened to be on the phone BSing with city communications when I got dispatched, 2 districts over for a cardiac arrest. 70-ish female in PEA, 3 rounds of drugs, lido drip, pacing and defib. DRT at Duke.
2nd call, some lady locked her 6 month old in the car with the AC on high. The car was in the garage and the cop didnt want to break the window. Couldnt figure out how to get in, called a locksmith and almost broke the window because the baby became lethargic. Locksmith showed up just in time, baby had cried himself to sleep. cancelled that call.
Had a pt with what I'm sure was an MI who decided to AMA. Could NOT convince this guy to go to the hospital.
Next, hypotensive septic shock with BP 50/0, HR 150 in a clinic with a doctor standing by who stated: "just take her to the ED, all she needs is some Zosin and she'll be fine" They wanted to wait to draw 10, 20cc syringes of blood for labs and take a urine sample, all without a fluid bolus or any oxygen. Needless to say, this poor lady got her fluid bolus, and her high flow O's without all that blood being taken off of her. Went to the ED lights and sirens, got there and realized they had given neither of us paperwork. GRRRR! :angry: She went to the MICU.
Another code. Asystolic cardiac arrest at a nusing home "estimated downtime 7-10 minutes" How many times have I heard that? Intubated, 4 rounds of drugs, CPR, code 3 to Duke. DRT in the ER.
40 year old med student with the flu. Thinks he has meningitis, but no pain with ROM, high fever, or photosensitivity. Just out of professional courtesy, I gave him some Tylenol and a fluid bolus. Big baby.
Angulated ankle fx from vehicle vs mo-ped. (I got pics of this one from the police sgt) 10mg MSO4, splint and a ride to duke. turns out it was just horribly dislocated. He got reduced, with a huge scream, by the docs in the ER.
Got off an hour late, started 45 minutes early, put in a 14 hour day. The nurses at the ED wouldnt answer the radio when I called in pre-alerts, the docs were calling me "Reaper". Needless to say, I drank myself a cold beer and went to bed early!
:lol:
